Three-level Anterior Cervical Discectomy and Fusion with Cervical Plate / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
;
: 238-244, 2002.
Artigo
em Coreano
| WPRIM
| ID: wpr-108964
ABSTRACT
STUDY DESIGN:
Retrospective study.OBJECTIVES:
To evaluate the clinical and radiological outcomes by the method of three-level anterior cervical discectomy and fusion with cervical plate. SUMMARY OF LITERATURE REVIEW The arthrodesis rate and outcome for patients having three-level anterior cervical discectomy and fusion procedures is disappointing. The success of arthrodesis depends on several factors including bone graft type, size, and additional anterior plate fixation. MATERIALS ANDMETHODS:
Five patients (average age, 69 years; all males) were observed. All had a anterior discectomy, placement of autogenous tricortical iliac bone graft at three-levels and application of a Orion plate. Clinical and radiologic results of bony union, cervical lordosis and intervertebral disc height were assessed.RESULTS:
All clinical symptoms of patients had been resolved after operation. The postoperative scores by the criteria of Odom are 2 in excellent and 3 in good. The bony unions were achieved in all cases in the average 12 weeks after surgery (minimum 8 weeks, maximum 20 weeks). The sum of three-level intervertebral disc height in average was increased from 14.8 mm preoperatively to 25.4 mm postoperatively. The average angle of cervical lordosis was corrected from 18o preoperatively to 27o postoperatively.CONCLUSIONS:
The three-level anterior cervical discectomy and fusion with Orion plate and autogenous tricortical iliac bone graft results in effective surgical treatment, which produces good clinical outcome, early and solid bony union, restoration of the normal cervical lordosis and disc space height.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artrodese
/
Estudos Retrospectivos
/
Discotomia
/
Transplantes
/
Disco Intervertebral
/
Lordose
Tipo de estudo:
Estudo observacional
Limite:
Animais
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2002
Tipo de documento:
Artigo
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