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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2024.4
- 수록면
- 182 - 189 (8page)
- DOI
- 10.31616/asj.2023.0207
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초록· 키워드
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Study Design: Retrospective study.Purpose: This study aimed to evaluate how osteoporosis affected the clinical and radiological outcomes of patients who underwent anterior cervical discectomy and fusion (ACDF) with plating.Overview of Literature: The incidence of complications associated with implants is high when ACDF is performed in patients with poor bone quality.Methods: In total, 101 patients without (T-score ≥1.0, group A) and 25 with (T-score ≤−2.5, group B) osteoporosis who underwent single-level ACDF with plating were followed up for >2 years. The clinical and radiological outcomes were compared between the two groups. The fusion rate and implant-related complications were evaluated.Results: Although clinical outcomes such as visual analog scale scores for the arm (2.0±2.3 vs. 2.4±2.9, <i>p</i>=0.490) and neck pain (1.4±1.9 vs. 1.8±2.2, <i>p</i>=0.343) and neck disability index (7.7±7.1 vs. 9.9±7.5, <i>p</i>=0.225) were slightly higher in group B, no statistically significant difference was noted. Cage subsidence (13.9% vs. 16.0%, <i>p</i>=0.755) and plate migration (7.9% vs. 8.0%, <i>p</i>=1.000) rates did not differ between the two groups. The fusion rate at 1 year postoperatively was higher in group A than in group B (80.3% vs. 68.2%, <i>p</i>=0.139) and slightly increased in both groups (94.6% vs. 86.4%, <i>p</i>=0.178) at the final follow-up.Conclusions: Osteoporosis did not significantly affect the rate of cage subsidence or plate migration after cervical fusion. After ACDF, increased cage subsidence and implant migration rates had no significant effect on clinical outcomes.
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