지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 294 - 299 (6page)
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초록· 키워드
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Study Design: Retrospective clinical study. Purpose: This study investigated the relationship between surgical approaches and surgical outcomes in patients undergoing percutaneous endoscopic cervical discectomy (PECD), including the reduction in intervertebral disc height and the incidence of Modic changes. Overview of Literature: The anterior approach involves partial invasion of the intervertebral disc, with a reported reduction in intervertebral disc height after PECD. Methods: Forty-two patients with cervical disk hernia who underwent PECD and magnetic resonance imaging at least 3 months postoperatively were divided into four groups according to the hernia sites and the surgical approach used: unilateral hernia treated using the contralateral approach (group C, n=18), unilateral hernia treated using the ipsilateral approach (group I, n=15), midline hernia (group M, n=4), and broad and bilateral hernia (group B, n=5). Modic changes and intervertebral disc height were evaluated. Results: The overall incidence of Modic changes was 52.4%: 72.2% in group C, 26.7% in group I, 25.0% in group M, and 80.0% in group B. The reduction in intervertebral disc height was 21.8% across all the patients: 24.5% in group C, 11.0% in group I, 22.8% in group M, and 23.9% in group B. Conclusions: The incidence of Modic changes and the reduction in intervertebral disc height were lower in the patients treated using the ipsilateral approach than in those treated using the contralateral approach. Traditionally, a contralateral approach has been used for PECD; however, the ipsilateral approach is more appropriate and is therefore recommended.
목차
등록된 정보가 없습니다.
참고문헌 (13)
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 40:607~624
Hilibrand AS / 1999 / Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis / J Bone Joint Surg Am 81:519~528
Matsumoto M / 2010 / Anterior cervical decompression and fusion accelerates adjacent segment degeneration:comparison with asymptomatic volunteers in a ten-year magnetic resonance imaging follow-up study / Spine (Phila Pa 1976) 35:36~43
Baba H / 1993 / Late radiographic findings after anterior cervical fusion for spondylotic myeloradiculopathy / Spine (Phila Pa 1976) 18:2167~2173
Lopez-Espina CG / 2006 / Multilevel cervical fusion and its effect on disc degeneration and osteophyte formation / Spine (Phila Pa 1976) 31:972~978
Hilibrand AS / 1999 / Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis / J Bone Joint Surg Am 81:519~528
Matsumoto M / 2010 / Anterior cervical decompression and fusion accelerates adjacent segment degeneration:comparison with asymptomatic volunteers in a ten-year magnetic resonance imaging follow-up study / Spine (Phila Pa 1976) 35:36~43
Baba H / 1993 / Late radiographic findings after anterior cervical fusion for spondylotic myeloradiculopathy / Spine (Phila Pa 1976) 18:2167~2173
Lopez-Espina CG / 2006 / Multilevel cervical fusion and its effect on disc degeneration and osteophyte formation / Spine (Phila Pa 1976) 31:972~978
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