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
- 2015.1
- 수록면
- 251 - 255 (5page)
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초록· 키워드
오류제보하기
Objective: The purpose of this study was to evaluate the surgical technique and outcome of mini-open posterior lumbar interbody fusion (PLIF) under circumferential releasing technique. Methods: Fourty patients who underwent mini-open PLIF using the percutaneous screw fixation system for Meyerding Grade II spondylolisthesis or more were retrospectively studied. After complete circumferential release, the slipped vertebrae would tend to obtain spontaneous reduction, and with compressive force by percutaneous screw fixation, additional reduction could be achieved. The radiological measurements including slippage reduction, disc height, restoration of lumbar lordotic angle and focal segmental angle were analyzed. The clinical outcome was assessed using the visual analog scale (VAS) and low back outcome score (LBOS), and procedure related complications were also analyzed. Results: Slippage percentage was improved from 38.0±12.6% to 9.3±7.8% and lumbar lordotic angle was changed from 43.0±13.8° to 48.2±10.3°. Focal segmental angle improved from 10.1±8.5° to 15.9±6.0°. The mean LBOS and mean pain score were also improved significantly. Complications included one case of medial penetration of pedicle border and two cases of transient radiculopathy. However, there were no signs of neurological aggravation or fusion failure during the follow-up period. Conclusion: Mini-open PLIF using the percutaneous screw fixation following complete circumferential release can be safe and effective treatment for even moderate to severe grade spondylolisthesis.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Gill GG. / 1955 / Surgical treatment of spondylolisthesis without spine fusion; excision of the loose lamina with decompression of the nerve roots / J Bone Joint Surg Am 37:493~520
Harris IE. / 1987 / Long term follow-up of patients with grade-III and IV spondylolisthesis. Treatment with and without posterior fusion / J Bone Joint Surg Am 69:960~969
Kawakami M. / 2002 / Lumbar sagittal balance influences the clinical outcome after decompression and posterolateral spinal fusion for degenerative lumbar spondylolisthesis / Spine(Phila Pa 1976) 27:59~64
Hyeun Sung Kim / 2007 / Bone Cement Augmentation of PedicularScrewing in Severe OsteoporoticSpondylolisthetic Patients / 대한신경외과학회지 42(1):6~10
김현성 / 2011 / Minimally Invasive Multi-Level Posterior Lumbar Interbody Fusion Using a Percutaneously Inserted Spinal Fixation System : Technical Tips, Surgical Outcomes / 대한신경외과학회지 50(5):441~445
Harris IE. / 1987 / Long term follow-up of patients with grade-III and IV spondylolisthesis. Treatment with and without posterior fusion / J Bone Joint Surg Am 69:960~969
Kawakami M. / 2002 / Lumbar sagittal balance influences the clinical outcome after decompression and posterolateral spinal fusion for degenerative lumbar spondylolisthesis / Spine(Phila Pa 1976) 27:59~64
Hyeun Sung Kim / 2007 / Bone Cement Augmentation of PedicularScrewing in Severe OsteoporoticSpondylolisthetic Patients / 대한신경외과학회지 42(1):6~10
김현성 / 2011 / Minimally Invasive Multi-Level Posterior Lumbar Interbody Fusion Using a Percutaneously Inserted Spinal Fixation System : Technical Tips, Surgical Outcomes / 대한신경외과학회지 50(5):441~445
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