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Artificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up

DC FieldValueLanguage
dc.contributor.author김긍년-
dc.contributor.author신동아-
dc.contributor.author윤도흠-
dc.contributor.author이성-
dc.contributor.author하윤-
dc.date.accessioned2018-07-20T12:02:18Z-
dc.date.available2018-07-20T12:02:18Z-
dc.date.issued2017-
dc.identifier.issn2380-0186-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161675-
dc.description.abstractSTUDY 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.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherWolters Kluwer-
dc.relation.isPartOfClinical Spine Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHCervical Vertebrae/diagnostic imaging-
dc.subject.MESHCervical Vertebrae/physiopathology-
dc.subject.MESHCervical Vertebrae/surgery*-
dc.subject.MESHDisability Evaluation-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIntervertebral Disc Degeneration/diagnostic imaging-
dc.subject.MESHIntervertebral Disc Degeneration/physiopathology-
dc.subject.MESHIntervertebral Disc Degeneration/surgery*-
dc.subject.MESHIntervertebral Disc Displacement/diagnostic imaging-
dc.subject.MESHIntervertebral Disc Displacement/physiopathology-
dc.subject.MESHIntervertebral Disc Displacement/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeck Pain/surgery-
dc.subject.MESHPostoperative Complications/etiology-
dc.subject.MESHRange of Motion, Articular-
dc.subject.MESHSpinal Fusion*/adverse effects-
dc.subject.MESHTotal Disc Replacement*/adverse effects-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVisual Analog Scale-
dc.titleArtificial Disk Replacement Combined With Fusion Versus 2-Level Fusion in Cervical 2-Level Disk Disease With a 5-Year Follow-up-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Neurosurgery-
dc.contributor.googleauthorJi Gyu Yeul-
dc.contributor.googleauthorOh Chang Hyun-
dc.contributor.googleauthorShin Dong Ah-
dc.contributor.googleauthorHa Yoon-
dc.contributor.googleauthorYi, Seong-
dc.contributor.googleauthorKim Keung Nyun-
dc.contributor.googleauthorShin Hyun Cheol-
dc.contributor.googleauthorYoon Do Heum-
dc.identifier.doi10.1097/BSD.0000000000000316-
dc.contributor.localIdA00331-
dc.contributor.localIdA02092-
dc.contributor.localIdA02546-
dc.contributor.localIdA02864-
dc.contributor.localIdA04255-
dc.relation.journalcodeJ02983-
dc.identifier.eissn2380-0194-
dc.identifier.pmid28525488-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01933606-201706000-00028&LSLINK=80&D=ovft-
dc.contributor.alternativeNameKim, Keung Nyun-
dc.contributor.alternativeNameShin, Dong A-
dc.contributor.alternativeNameYoon, Do Heum-
dc.contributor.alternativeNameYi, Seong-
dc.contributor.alternativeNameHa, Yoon-
dc.contributor.affiliatedAuthorKim, Keung Nyun-
dc.contributor.affiliatedAuthorShin, Dong A-
dc.contributor.affiliatedAuthorYoon, Do Heum-
dc.contributor.affiliatedAuthorYi, Seong-
dc.contributor.affiliatedAuthorHa, Yoon-
dc.citation.volume30-
dc.citation.number5-
dc.citation.startPage620-
dc.citation.endPage627-
dc.identifier.bibliographicCitationClinical Spine Surgery, Vol.30(5) : 620-627, 2017-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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