하부 경추 병변에 대한 전방경유 골융합술 및 금속판 고정술
Anterior Cervical Fusion and Plate Stabilization in Patients with Lower Cervical Lesions
소속 상세정보
임춘수/Chun Soo Lim
조용준/안성기/황장회/안명수/Yong Jun Cho/Sung Ki Ahn/Jang Hoi Hwang/Myung Soo Ahn
KMID : 0359819980270010029
Abstract
결론
저자들은 1994년 4월부터 1996년 6월까지 본원 신경외과에 입원하여 하부 경추 병변에 의
해 신경학적 증상을 보였던 환자들 중 전방경유 금속판 고정술을 시행했던 30례의 환자들을
대 강으로 비교 분석한 결과 다음과 같은 결론을 얻었다.
전방경유 금속판 고정술은 많은 장점을 가진 경추 안정화 방법으로 수술 후 합병증은 고
식적인 전방 접근법과 유사하다. 나아가 전방경유 금속판 고정술은 척수 및 신경근의 전방
경유 감압을 필요로 하는 퇴행성 질환을 포함한 대부분의 하부 경추질환에 적용할 수 있는
우수한 시술이라고 생각한다.
#초록#
Anterior cervical discectomy and fusion is an efficacious procedure used to treat a
variety of cervical spinal disorder, including spondylosis, myelopathy, herniated discs,
trauma, and degenerative disc diseases. Refinements in instrumentation for the cervical
spine have led to an increase in experience with these devices during the past decade.
The need for postoperative immobilization, required to stabilize the patient while the
fusion mass heals, is decreased or negated by internal fixation.
The authors analyzed the results in 30 patients(22 traumatic ; 8 non-traumatic) with
lower cervical lesions, who underwent anterior interbody fixation with cervical plates
between April. 1994 and June, 1996. We used either a unicortical(OrionTM)
or bicortical screw system(TopTM) ; these two types of plates had no
specific differences, but the OrionTM was easier and safer to operate.
Although postoperative stability was successfully attained in all patients. two
screw-related complications, which were fully resolved without causing any specific
problems, were detected during the postoperative follow-up period. In nontraumatic
lesions, we measured pre-and postoperative interbody heights at ten levels ;
postoperative interbody height was well preserved for on year.
In conclusion, internal fixation may provide added security to the nervous system
before bony fusion occurs, may lessen the number of levels requiring fusion, may
increase the probability of successful fusion, and is conducive to early patient
mobilization.
키워드
Anterior cervical fusion; Anterior cervical plate fixation; Interbody height;
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