Cited 31 times in
Revision surgeries following artificial disc replacement of cervical spine
DC Field | Value | Language |
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dc.contributor.author | 석경수 | - |
dc.date.accessioned | 2017-10-26T08:11:14Z | - |
dc.date.available | 2017-10-26T08:11:14Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1738-2947 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/153087 | - |
dc.description.abstract | OBJECTIVE: We investigated causes and results of revision surgeries after artificial disc replacement of cervical spine (C-ADR). METHODS: Twenty-one patients (mean age: 52.8) who underwent revision surgery after C-ADR and who had a minimum 2-year of follow-up were included into this study. The mean time between the primary and revision surgeries was 21 months. During their primary surgeries, 14 patients underwent single level C-ADR, 2 two-level C-ADR, and 5 two-level hybrid surgery for 16 radiculopathy, 3 myelopathy, and 2 adjacent segment diseases. Causes for revision surgeries were at least one of the followings: 17 poor patient selections, 7 insufficient decompressions, 7 malpositions, 6 subsidences, 3 osteolysis, and 1 postoperative infection. RESULTS: Sixteen patients underwent anterior removal of C-ADR, one-level discectomy and fusion (N = 11), two-level discectomy (N = 3) or one-level corpectomy (N = 2) and fusion. Three patients of keel type C-ADR with heterotopic ossification underwent posterior laminoforaminotomy and fusion. Two patients underwent combined procedures due to infection or severe subsidence and osteolysis. At the 2-year follow-up, neck (7.3 vs 1.6) and arm (7.0 vs 1.3) visual analog scales and Neck Disability Index score (46.7 vs 16.32) were improved (all, p < 0.05). According to Odom's criteria, 86% of the patients were satisfied and 91% achieved solid fusion. No major complications developed except for transient dysphagia in 6 patients (29%). CONCLUSIONS: In this small case series, revision surgeries provided successful outcomes in failed C-ADR without major complications. Careful patient selection and meticulous surgical techniques are important to avoid disappointing clinical outcome or even failure of C-ADR. LEVEL OF EVIDENCE: Level IV, Therapeutic study. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | Korean | - |
dc.publisher | Korean Society on Water Quality | - |
dc.relation.isPartOf | Journal of Korean Society on Water Environment (한국물환경학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Revision surgeries following artificial disc replacement of cervical spine | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Orthopedic Surgery | - |
dc.contributor.googleauthor | Jong-Beom Park | - |
dc.contributor.googleauthor | Han Chang | - |
dc.contributor.googleauthor | Jin S. Yeom | - |
dc.contributor.googleauthor | Kyung-Soo Suk | - |
dc.contributor.googleauthor | Dong-Ho Lee | - |
dc.contributor.googleauthor | Jae Chul Lee | - |
dc.identifier.doi | 10.1016/j.aott.2016.04.004 | - |
dc.contributor.localId | A01926 | - |
dc.relation.journalcode | J02961 | - |
dc.identifier.pmid | 27939974 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S1017995X16302814 | - |
dc.contributor.alternativeName | Suk, Kyung Soo | - |
dc.contributor.affiliatedAuthor | Suk, Kyung Soo | - |
dc.citation.volume | 50 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 610 | - |
dc.citation.endPage | 618 | - |
dc.identifier.bibliographicCitation | Journal of Korean Society on Water Environment (한국물환경학회지), Vol.50(6) : 610-618, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 41090 | - |
dc.type.rims | ART | - |
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