전방 유합술을 이용한 단분절 경추간판 탈출증의 치료 - 금속판 고정술과 케이지의 비교 - (Anterior Decompression and Fusion in the Treatment of Single-level Cervical Disc Herniation - Plate Fixation vs Cage -)

서지정보

· 발행기관 : 대한척추외과학회
· 수록지 정보 : 대한척추외과학회지 / 15권 / 3호 / 140 ~ 148페이지
· 저자명 : 박희전, 심영준, 양재형

초록

Study Design: This is a retrospective study.
Objectives: We analyzed the radiological and clinical results to verify the efficacy of anterior interbody fusion with using cages
gradually increases in the treatment of cervical radiculopathy.
Summary of the Literature Review: Anterior cervical decompression and fusion is well accepted treatments for cervical radiculopathy.
Performing anterior interbody fusion using cages has recently gradually increased to minimize the extent of surgery.
While there are numerous reports on the primary stabilizing effects of the cervical cages, little is known about the subsidence
behavior of such cages in vivo.
Materials and Methods: We retrospectively analyzed 38 patients with cervical disc herniation who underwent anterior decompression
and interbody fusion with autoiliac bone graft and plate fixation (Group I, 21 patients) or who underwent with standalone
cage (Group II, 17 patients). We statistically analyzed the changes of the cervical lordosis, the segmental lordosis, the vertebral
body height, the fusion rate on the plain x-ray and the clinical results with using a pain visual analogue scale.
Results: All the cases were fused by 11.2±2.7 weeks after operation. The changes of the cervical lordosis and segmental lordosis
show no statistically significant difference between the two groups (p=0.07, 0.66). The anterior and posterior vertebral heights
of the fused segments of group II were more decreased than those of group I, but there was no statistically difference between
the two groups (p=0.06, 0.30). The clinical results were not statistically difference between the two groups (p=0.64, 0.45).
Conclusions: Implantation of autoiliac cancellous bone impacted stand-alone cages or on a tricortical iliac crest autograft after
anterior decompression was safe and reliable options for the treatment of cervical disc herniation that causes single level
radiculopathy. Both procedures produced equally satisfying clinical and radiological results, leading to a high fusion rate and
they maintained the intervertebral height.

영어초록

Study Design: This is a retrospective study.
Objectives: We analyzed the radiological and clinical results to verify the efficacy of anterior interbody fusion with using cages
gradually increases in the treatment of cervical radiculopathy.
Summary of the Literature Review: Anterior cervical decompression and fusion is well accepted treatments for cervical radiculopathy.
Performing anterior interbody fusion using cages has recently gradually increased to minimize the extent of surgery.
While there are numerous reports on the primary stabilizing effects of the cervical cages, little is known about the subsidence
behavior of such cages in vivo.
Materials and Methods: We retrospectively analyzed 38 patients with cervical disc herniation who underwent anterior decompression
and interbody fusion with autoiliac bone graft and plate fixation (Group I, 21 patients) or who underwent with standalone
cage (Group II, 17 patients). We statistically analyzed the changes of the cervical lordosis, the segmental lordosis, the vertebral
body height, the fusion rate on the plain x-ray and the clinical results with using a pain visual analogue scale.
Results: All the cases were fused by 11.2±2.7 weeks after operation. The changes of the cervical lordosis and segmental lordosis
show no statistically significant difference between the two groups (p=0.07, 0.66). The anterior and posterior vertebral heights
of the fused segments of group II were more decreased than those of group I, but there was no statistically difference between
the two groups (p=0.06, 0.30). The clinical results were not statistically difference between the two groups (p=0.64, 0.45).
Conclusions: Implantation of autoiliac cancellous bone impacted stand-alone cages or on a tricortical iliac crest autograft after
anterior decompression was safe and reliable options for the treatment of cervical disc herniation that causes single level
radiculopathy. Both procedures produced equally satisfying clinical and radiological results, leading to a high fusion rate and
they maintained the intervertebral height.

참고자료

· 없음