Cited 14 times in
Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up
DC Field | Value | Language |
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dc.contributor.author | 김긍년 | - |
dc.contributor.author | 신동아 | - |
dc.contributor.author | 윤도흠 | - |
dc.contributor.author | 이성 | - |
dc.contributor.author | 하윤 | - |
dc.date.accessioned | 2018-07-20T12:02:18Z | - |
dc.date.available | 2018-07-20T12:02:18Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 2380-0186 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/161675 | - |
dc.description.abstract | STUDY DESIGN: Prospective study. OBJECTIVE: The purpose of this study was to compare the long-term clinical and radiologic outcomes of hybrid surgery (HS) and 2-level anterior cervical discectomy and fusion (2-ACDF) in patients with 2-level cervical disk disease. SUMMARY OF BACKGROUND DATA: In a previous study with a 2-year follow-up, HS was shown to be superior to 2-ACDF, with a better Neck Disability Index (NDI) score, less postoperative neck pain, faster C2-C7 range of motion (ROM) recovery, and less adjacent ROM increase. MATERIALS AND METHODS: Between 2004 and 2006, 40 patients undergoing 2-level cervical disk surgery at our hospital were identified as 2-level degenerative disk disease. Forty patients were included in the previous study; 35 patients were followed up for 5 years. Patients completed the NDI and graded their pain intensity before surgery and at routine postoperative until 5 years. Dynamic cervical radiographs were obtained before surgery and at routine postoperative intervals and the angular ROM for C2-C7 and adjacent segments was measured. RESULTS: The HS group had better NDI recovery until 3 years after surgery (P<0.05). Postoperative neck pain was lower in the HS group at 1 and 3 years after surgery (P<0.05), but arm pain relief was not differently relieved. The HS group showed more angular ROM for C2-C7 at 2 and 3 years after surgery. The superior adjacent segment ROM showed hypermobility in the 2-ACDF group and hypomobility in the HS group at all follow-up periods without statistically significance, but the inferior adjacent segment ROM differed significantly (P<0.05). CONCLUSION: HS is superior to 2-ACDF; it leads to better NDI recovery, less postoperative neck pain, faster C2-C7 ROM recovery, and less adjacent ROM increase over a 2-year follow-up, but these benefits of HS become similar to those of 2-ACDF with 5 years of follow-up. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Wolters Kluwer | - |
dc.relation.isPartOf | CLINICAL SPINE SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cervical Vertebrae/diagnostic imaging | - |
dc.subject.MESH | Cervical Vertebrae/physiopathology | - |
dc.subject.MESH | Cervical Vertebrae/surgery* | - |
dc.subject.MESH | Disability Evaluation | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Intervertebral Disc Degeneration/diagnostic imaging | - |
dc.subject.MESH | Intervertebral Disc Degeneration/physiopathology | - |
dc.subject.MESH | Intervertebral Disc Degeneration/surgery* | - |
dc.subject.MESH | Intervertebral Disc Displacement/diagnostic imaging | - |
dc.subject.MESH | Intervertebral Disc Displacement/physiopathology | - |
dc.subject.MESH | Intervertebral Disc Displacement/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neck Pain/surgery | - |
dc.subject.MESH | Postoperative Complications/etiology | - |
dc.subject.MESH | Range of Motion, Articular | - |
dc.subject.MESH | Spinal Fusion*/adverse effects | - |
dc.subject.MESH | Total Disc Replacement*/adverse effects | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Visual Analog Scale | - |
dc.title | Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Neurosurgery | - |
dc.contributor.googleauthor | Ji Gyu Yeul | - |
dc.contributor.googleauthor | Oh Chang Hyun | - |
dc.contributor.googleauthor | Shin Dong Ah | - |
dc.contributor.googleauthor | Ha Yoon | - |
dc.contributor.googleauthor | Yi, Seong | - |
dc.contributor.googleauthor | Kim Keung Nyun | - |
dc.contributor.googleauthor | Shin Hyun Cheol | - |
dc.contributor.googleauthor | Yoon Do Heum | - |
dc.identifier.doi | 10.1097/BSD.0000000000000316 | - |
dc.contributor.localId | A00331 | - |
dc.contributor.localId | A02092 | - |
dc.contributor.localId | A02546 | - |
dc.contributor.localId | A02864 | - |
dc.contributor.localId | A04255 | - |
dc.relation.journalcode | J02983 | - |
dc.identifier.eissn | 2380-0194 | - |
dc.identifier.pmid | 28525488 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01933606-201706000-00028&LSLINK=80&D=ovft | - |
dc.contributor.alternativeName | Kim, Keung Nyun | - |
dc.contributor.alternativeName | Shin, Dong A | - |
dc.contributor.alternativeName | Yoon, Do Heum | - |
dc.contributor.alternativeName | Yi, Seong | - |
dc.contributor.alternativeName | Ha, Yoon | - |
dc.contributor.affiliatedAuthor | Kim, Keung Nyun | - |
dc.contributor.affiliatedAuthor | Shin, Dong A | - |
dc.contributor.affiliatedAuthor | Yoon, Do Heum | - |
dc.contributor.affiliatedAuthor | Yi, Seong | - |
dc.contributor.affiliatedAuthor | Ha, Yoon | - |
dc.citation.volume | 30 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 620 | - |
dc.citation.endPage | 627 | - |
dc.identifier.bibliographicCitation | CLINICAL SPINE SURGERY, Vol.30(5) : 620-627, 2017 | - |
dc.identifier.rimsid | 61698 | - |
dc.type.rims | ART | - |
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