Surgical Outcome for Hemodialysis-Related Upper Cervical Lesions
Asian Spine Journal
;
: 699-704, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-209959
ABSTRACT
STUDY DESIGN:
A retrospective study.PURPOSE:
To investigate the surgical outcome for hemodialysis-related upper cervical lesions. OVERVIEW OF LITERATURE Surgical outcome of lower cervical lesions in patients undergoing hemodialysis has been reported. However, surgical outcome for upper cervical lesions in hemodialysis patients is unclear.METHODS:
Upper cervical lesions in nine patients undergoing hemodialysis were surgically treated. Mean age at surgery was 61.6 years (range, 52-68 years), and the mean follow-up period was 45.4 months (range, 2-98 months). Patients had undergone hemodialysis for an average of 25.3 years (range, 16-40 years) at surgery. Seven patients with destructive spondyloarthropathy (DSA) of the upper cervical spine were treated with atlantoaxial or occipitocervical fixation. Two patients with retro-odontoid pseudotumors were treated with C1 posterior arch resection alone. Japanese Orthopedic Association (JOA) scores for cervical myelopathy, postoperative complications, postoperative radiography, and preoperative and postoperative occipital pain were evaluated.RESULTS:
Mean preoperative and postoperative JOA score was 3.7 and 8.1, respectively. The seven patients with DSA had severe preoperative occipital pain that disappeared postoperatively. Postoperative radiography showed solid bone union in DSA cases and no instability in pseudotumor cases.CONCLUSIONS:
Satisfactory surgical outcome was observed for hemodialysis-related upper cervical lesions.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Ortopedia
/
Complicaciones Posoperatorias
/
Enfermedades de la Médula Espinal
/
Columna Vertebral
/
Radiografía
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Diálisis Renal
/
Espondiloartropatías
/
Pueblo Asiatico
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Asian Spine Journal
Año:
2015
Tipo del documento:
Artículo
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