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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 225 - 232 (8page)
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Study Design: A retrospective review of patients who underwent 2-level anterior cervical discectomy and fusion (ACDF) with stand-alone polyetheretherketone (PEEK) cages for cervical spondylotic myelopathy (CSM). Purpose: To evaluate the efficacy of stand-alone PEEK cage in 2-level cervical interbody fusion for CSM. Overview of Literature: ACDF is a standard surgical procedure to treat degenerative disc disease. However, the use of additional anterior plating for 2-level ACDF remains controversial. Methods: We reviewed outcomes of patients who underwent 2-level ACDF with stand-alone PEEK cages for CSM over a 7-year period (2007–2015) in a regional hospital. Japanese Orthopaedic Association (JOA) score, fusion rate, subsidence rate, cage migration, and cervical alignment by the C2–7 angle as well as the local segmental angle (LSA) of the cervical spine were assessed. Results: In total, 31 patients (mean age, 59 years; range, 36–87 years) underwent 2-level ACDF with a cage-only construct procedure between 2007 and 2015. The minimum follow-up was 24 months; mean follow-up was 51 months. C3–5 fusion was performed in 45%, C4–6 fusion in 32%, and C5–7 fusion in 23%. Mean JOA score improved from 10.1±2.2 to 13.9±2.1 (p<0.01) at the 24-month follow-up. Fusion was achieved in all patients. Subsidence occurred in 22.5% of the cages but was not associated with differences in JOA scores, age, sex, or levels fused. Lordosis of the C2–7 angle and LSA increased after surgery, which were maintained for up to 1 year but subsequently disappeared after 2 years, yet the difference was not statistically significant. No cage migration was noted; two patients developed adjacent segment disease requiring posterior laminoplasty 3 years after ACDF. Conclusions: The use of a stand-alone PEEK cage in a 2-level cervical interbody fusion achieves satisfactory improvements in both clinical outcomes and fusion.
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참고문헌 (21)
참고문헌 신청
Smith GW / 1958 / The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion / J Bone Joint Surg Am 40-A:607~624
Silber JS / 2003 / Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion / Spine(Phila Pa 1976) 28:134~139
Riley LH 3rd / 2005 / Dysphagia after anterior cervical decompression and fusion : prevalence and risk factors from a longitudinal cohort study / Spine(Phila Pa 1976) 30:2564~2569
Kapetanakis S / 2017 / Single anterior cervical discectomy and fusion(ACDF)using self-locking stand-alone polyetheretherketone(PEEK)cage : evaluation of pain and health-related quality of life / J Spine Surg 3:312~322
Overley SC / 2017 / A matched cohort analysis comparing stand-alone cages and anterior cervical plates used for anterior cervical discectomy and fusion / Global Spine J 7:394~399
Silber JS / 2003 / Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion / Spine(Phila Pa 1976) 28:134~139
Riley LH 3rd / 2005 / Dysphagia after anterior cervical decompression and fusion : prevalence and risk factors from a longitudinal cohort study / Spine(Phila Pa 1976) 30:2564~2569
Kapetanakis S / 2017 / Single anterior cervical discectomy and fusion(ACDF)using self-locking stand-alone polyetheretherketone(PEEK)cage : evaluation of pain and health-related quality of life / J Spine Surg 3:312~322
Overley SC / 2017 / A matched cohort analysis comparing stand-alone cages and anterior cervical plates used for anterior cervical discectomy and fusion / Global Spine J 7:394~399
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