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제1, 2경추 후방유합술의 치료성적 비교 및 장기추적조사

Other Titles
 Long Term Follow up and Clinical Results of Posterior C1/2 Fixation 
Authors
 윤도흠  ;  김영수 
Citation
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.28(7) : 926-933, 1999 
Journal Title
Journal of Korean Neurosurgical Society(대한신경외과학회지)
ISSN
 1225-8245 
Issue Date
1999
Keywords
C1/2 posterior fusion ; Odontoid process fracture ; Os odontoideum ; Halifax clamp ; Transarticular screw fixation
Abstract
OBJECTIVE:
To determine the efficacy of various posterior fusion techniques in managing C1/2 instability. PATIENTS AND
METHODS:
Retrospective review of patients undergoing C1/2 posterior fusioin was undertaken with the aim of determining the long-term outcome of the selected procedures. Forty-two patients requiring posterior atlantoaxial fusion for various pathologies were treated with various instruments for internal spinal fixation. Forty-two patients underwent 45 procedures from 1990 to 1997, with a mean follow-up of 2.7 years(range 8 months-7 years)
RESULTS:
The most common disease processes were odontoid fracture(12 patients), os odontoideum(13), and rheumatoid instability(7). Nineteen interspinous wirings, 17 transarticular screw fixations, 9 halifax clamp applications were performed. Three of Halifax fixation and 2 of wiring failed in long term follow up. Among of them, bony fusion was failed in 3 patients which consequently required reoperation. All transarticular screw procedures resulted in successful fusions. CONCLUSIONS: Transarticular screw fixatioin has several potential advantages compare to other procedures as a technique for C1/2 posterior arthrodesis.
Files in This Item:
T199901636.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Do Heum(윤도흠) ORCID logo https://orcid.org/0000-0003-1452-5724
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174034
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