Complications and Outcome in Dynamic Plated Single Level Anterior Corpectomy and Fusion Including Two Level Complete Diskectomies
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概要
- 論文の詳細を見る
Background and Context : The efficacy of iliac crest strut autograft and dynamic plating (ABC : Aesculap, Tuttlingen, Germany) for one level anterior cervical corpectomy/fusion with two level diskectomy (1 level ACF) needs to be established. Purpose : To document fusion (2D-CT and dynamic X-rays) and outcomes (SF-36) following 1 level ACF. Study Design/Setting : Graft and plate-related complications and outcomes were prospectively evaluated in 86 consecutive patients undergoing 1 level ACF. Patient Sample : Preoperative MR/CT studies documented contiguous two-level disc disease, spondylosis, stenosis and/or ossification of the posterior longitudinal ligament (OPLL). Outcome Measures : Fusion was documented on 2D-CT/dynamic X-rays. Outcomes (Odom's Criteria, Nurick Grades and SF-36) were assessed 3, 6, 12, and 24 months postoperatively. Methods : Patients averaged 48 years of age and exhibited moderate/severe preoperative myelopathy (average Nurick Grade 3.0). All underwent 1 level ACF, and were followed an average of 3.5 years (minimum 2 years). Results : Two pseudarthroses, 2 delayed strut fractures, and 1 plate/graft extrusion (5.8% total) developed postoperatively; all required secondary posterior fusion. Outcomes 2 years postoperatively revealed mild residual radiculopathy (average Nurick Grades 0.24), 82 good/excellent outcomes (Odom's Criteria), and marked improvement on 6 SF-36 Health Scales. The average time to fusion was 4.7 months. Conclusions : Successful 2D-CT/dynamic X-ray documented fusion occurred in 94.2% of patients undergoing 1 level ACF performed with iliac crest autograft and dynamic ABC plates. Results were comparable to those cited for fixed-plates in other series.
- 日本脊髄外科学会の論文
- 2005-09-30
著者
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Epstein Nancy
The Albert Einstein College Of Medicine Bronx Ny And Attending In Neurosurgery Winthrop University H
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Epstein Nancy
The Albert Einstein College Of Medicine Bronx Ny And Attending In Neurosurgery Winthrop University H
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Epstein Nancy
The Albert Einstein College Of Medicine
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- Complications and Outcome in Dynamic Plated Single Level Anterior Corpectomy and Fusion Including Two Level Complete Diskectomies
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