퇴행성 경추질환의 전방 경유 경추부 수술시 내고정술 시행 유무에 따른 분석
Anterior Cervical Interbody Fusion with versus without Plating System in Degenerative Cervical Disease
소속 상세정보
정현재/Hyun Jae Jeong
조재훈/이성락/강동기/김상철/Jae Hoon Cho/Sung Lak Lee/Dong Gee Kang/Sang Chul Kim.
KMID : 0359819980270121675
Abstract
결론
저자들은 퇴행성 경추 질환 67례의 전방 경유 경추체 골유합술에 금속판 내고정술 시행군
과 비시행군의 비교를 통해 다음의 결론을 얻었다. 퇴행성 경추 질환에 있어 단일 분절의
골유합술에서도 금속판 내고정술을 실시할 경우 술후 직후 이식골의 안정적 구축을 유지하
여 이식골에 의한 심각한 합병증의 발생을 줄일수 있으며 술후 조기 보행이 가능할 것으로
사료된다. 그러나 임상 결과 및 합병증으로 인한 재수술의 빈도를 감소에는 통계학적 유의
성이 없는 것으로 사료되며 금속판 내고정술시 술후 연하 장애등의 합병증을 줄이기 위해서
세심한 주의가 요할 것으로 생각된다.
#초록#
Anterior cervical interbody fusion(AGIF) is an effective method for the treatment of
various cervical diseases, but complications from such procedure include non-union,
absorption, collapse and displacement of graft bone. kyphosis and pseudoarthrosis. A
retrospective study of 67 cases with ACIF with versus without plating system in
degenerative cervical disease was performed to compare the arthrodesis level, average
admission period, average ambulation period, fusion rate, complications, clinical outcome
and reoperation rate for complications and to provide a efficacy and role of internal
fixation(IF) after ACIF. Forty-five patients were operated through ACIF without IF and
twenty-two patients were operated through ACIF with IF. In the group of ACIF
without IF, the average admission period was 20.31 days, postoperative average
ambulation period was 6.48 days, fusion rate was 97.7%, the rate of graft related
complication was 31.1%, reoperation rate for graft related complications was 8.9%. In the
group of ACIF with IF, the average admission period was 17.64 days, postoperative
average ambulation period was 3.19% days, fusion rate was 100%, the rate of graft and
plate related complications was 13.6%, reoperation rate for plate related conclusion, ACIF
with IF had less chance of serious graft complications and reoperation for graft related
complications.
키워드
Degenerative cervical disease; ACIF with/without IF; Graft related complication; Reoperation.;
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