Caspar금속판을 사용한 경추부 전방융합술의 임상적 경험
Clinical Experiences of Anterior Cervical Spine Fusion with the Caspar Plate
소속 상세정보
이장철
김동원/손은익/임만빈/김인홍
KMID : 0359819930220020180
Abstract
anterior interbody fusion for cervical spine disease may not provide adequate immediate stabilization, but anterior cervical spine plating has overcome this main disadvantage. Between August 1991 and August 1992, twenty patients with a variety of
cervical spine abnormalities were treated by anterior cervical spine fusion with the Caspar plate system. Fourteen patients had traumatic fracture and/or dislocation, three had infection (including two tuberculous spondylitis), two had
degenerative
spondylosis, and on had metastatic tumor. Single level fusion was accomplished in six patients, two-level fusion in leven patients, and three-level fusion in three patients. Among seventeen patients with an incomplete transverse lesion or neck
pain, all
patients showed some recovery at discharge except two patients with Frankel grade D. Complications included screw loosening (one patient), dysphagia (one patient, which subsided after removal of the plate), and transient neurological worsening
(one
patient). All patients had good bony fusion except one which had screw lcosening. Careful attention to surgical technique is needed to assure good results.
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