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Surgical Outcomes After Segmental Limited Surgery for Adjacent Segment Disease: The Consequences of Makeshift Surgery

DC FieldValueLanguage
dc.contributor.author구성욱-
dc.contributor.author김경현-
dc.contributor.author김근수-
dc.contributor.author류달성-
dc.contributor.author박정윤-
dc.contributor.author조용은-
dc.contributor.author진동규-
dc.date.accessioned2019-09-20T07:24:10Z-
dc.date.available2019-09-20T07:24:10Z-
dc.date.issued2018-
dc.identifier.issn1878-8750-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/170871-
dc.description.abstractBACKGROUND: To minimize surgical morbidity, surgeons may opt to perform segmental limited surgery instead of fusion extension for adjacent segment disease (ASD) after lumbar fusion surgery. This study evaluated clinical outcomes from segmental limited surgery without fusion extension for ASD and assessed which clinical factors were associated with reoperation after segmental limited surgery. METHODS: Medical data of 50 patients who underwent segmental limited surgery for ASD after lumbar fusion surgery between 2005 and 2015 were reviewed. Demographic data, ASD type, preoperative disc and facet degeneration, ASD location, and surgical summary were collected. The primary outcome was reoperation rate at 24 months after surgery. RESULTS: Of patients, 28 (56%) experienced recurrent radiculopathy (visual analog scale score ≥4). Revision surgery was performed in 22 patients (44%). Reoperation was performed more frequently in multilevel fusion first-surgery cases (15/23; 65.2%) than single-level fusion first-surgery cases (7/27; 25.9%; P = 0.005). The lowermost mobile segment group had a lower reoperation-free survival rate than the other group (hazard ratio = 9.85, 95% confidence interval 1.32-73.54, P = 0.01 [log-rank]). The 2-year reoperation-free survival rate for the lowermost mobile segment group was 31.5%, whereas the rate for the other group was 83.3%. CONCLUSIONS: Segmental limited surgery as a treatment for ASD after lumbar fusion surgery is likely to fail frequently and result in a high rate of recurrent radiculopathy and revision surgery. Fusion extension surgery is especially recommended for ASD at the lowermost mobile segment owing to the high failure rate.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfWorld Neurosurgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleSurgical Outcomes After Segmental Limited Surgery for Adjacent Segment Disease: The Consequences of Makeshift Surgery-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.googleauthorDal-Sung Ryu-
dc.contributor.googleauthorJeong-Yoon Park-
dc.contributor.googleauthorSung-Uk Kuh-
dc.contributor.googleauthorDong-Kyu Chin-
dc.contributor.googleauthorKeun-Su Kim-
dc.contributor.googleauthorYong-Eun Cho-
dc.contributor.googleauthorKyung-Hyun Kim-
dc.identifier.doi10.1016/j.wneu.2017.10.150-
dc.contributor.localIdA00196-
dc.contributor.localIdA00308-
dc.contributor.localIdA00308-
dc.contributor.localIdA00330-
dc.contributor.localIdA00330-
dc.contributor.localIdA01322-
dc.contributor.localIdA01322-
dc.contributor.localIdA01650-
dc.contributor.localIdA01650-
dc.contributor.localIdA03865-
dc.contributor.localIdA03865-
dc.contributor.localIdA03979-
dc.contributor.localIdA03979-
dc.relation.journalcodeJ02806-
dc.identifier.eissn1878-8769-
dc.identifier.pmid29109064-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S1878875017318788-
dc.subject.keywordAdjacent segment disease-
dc.subject.keywordFusion extension-
dc.subject.keywordLowermost mobile segment-
dc.subject.keywordLumbar fusion-
dc.subject.keywordSegmental limited surgery-
dc.contributor.alternativeNameKuh, Sung Uk-
dc.contributor.affiliatedAuthor구성욱-
dc.contributor.affiliatedAuthor김경현-
dc.contributor.affiliatedAuthor김경현-
dc.contributor.affiliatedAuthor김근수-
dc.contributor.affiliatedAuthor김근수-
dc.contributor.affiliatedAuthor박정윤-
dc.contributor.affiliatedAuthor박정윤-
dc.contributor.affiliatedAuthor조용은-
dc.contributor.affiliatedAuthor조용은-
dc.contributor.affiliatedAuthor진동규-
dc.contributor.affiliatedAuthor진동규-
dc.citation.volume110-
dc.citation.startPagee258-
dc.citation.endPagee265-
dc.identifier.bibliographicCitationWorld Neurosurgery, Vol.110 : e258-e265, 2018-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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