Cited 2 times in
Revision Surgery for a Failed Artificial Disc
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 구성욱 | - |
dc.contributor.author | 김근수 | - |
dc.contributor.author | 김긍년 | - |
dc.contributor.author | 신동아 | - |
dc.contributor.author | 조용은 | - |
dc.contributor.author | 진동규 | - |
dc.date.accessioned | 2021-04-29T17:20:38Z | - |
dc.date.available | 2021-04-29T17:20:38Z | - |
dc.date.issued | 2021-03 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/182295 | - |
dc.description.abstract | Purpose: This study aimed to present our experience with failures in C-TDR and revision surgery outcomes. Materials and methods: We retrospectively examined patients who underwent revision surgery due to the failure of C-TDR between May 2005 to March 2019. Thirteen patients (8 males and 5 females) were included in this study. The mean age was 46.1 years (range: 22-61 years), and the average follow-up period was 19.5 months (range: 12-64 months). The outcome measures of pre- and post-operative neck and arm pain using a visual analogue scale (VAS) and functional impairment were assessed using a modified Japanese Orthopedic Association (JOA) scale and the Neck Disability Index (NDI). Results: The main complaints of patients were posterior neck pain (77%), radiculopathy (62%), and/or myelopathy (62%). The causes of failure of C-TDR were improper indications for the procedure, osteolysis and mobile implant use, inappropriate techniques, and postoperative infection. The most common surgical level was C5-6, followed by C4-5. After revision surgery, the neck and arm pain VAS (preoperative vs. postoperative: 5.46 vs. 1.31; 4.86 vs. 1.08), a modified JOA scale (14.46 vs. 16.69), and the NDI (29.77 vs. 9.31) scores were much improved. Conclusion: C-TDR is good surgical option. However, it is very important to adhere to strict surgical indications and contraindications to avoid failure of C-TDR. The results of reoperations were good regardless of the approach. Therefore, various reoperation options could be considered in patients with failed C-TDR. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Yonsei University | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cervical Vertebrae / diagnostic imaging | - |
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 | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pain Measurement | - |
dc.subject.MESH | Pain, Postoperative / etiology | - |
dc.subject.MESH | Reoperation* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Total Disc Replacement* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Visual Analog Scale | - |
dc.subject.MESH | Young Adult | - |
dc.title | Revision Surgery for a Failed Artificial Disc | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Kwang Ryeol Kim | - |
dc.contributor.googleauthor | Dong Kyu Chin | - |
dc.contributor.googleauthor | Keun Su Kim | - |
dc.contributor.googleauthor | Yong Eun Cho | - |
dc.contributor.googleauthor | Dong Ah Shin | - |
dc.contributor.googleauthor | Keung Nyun Kim | - |
dc.contributor.googleauthor | Sung Uk Kuh | - |
dc.identifier.doi | 10.3349/ymj.2021.62.3.240 | - |
dc.contributor.localId | A00196 | - |
dc.contributor.localId | A00330 | - |
dc.contributor.localId | A00331 | - |
dc.contributor.localId | A02092 | - |
dc.contributor.localId | A03865 | - |
dc.contributor.localId | A03979 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 33635014 | - |
dc.subject.keyword | Artificial disc replacement | - |
dc.subject.keyword | cervical | - |
dc.subject.keyword | diskectomy | - |
dc.subject.keyword | fusion | - |
dc.subject.keyword | revision surgery | - |
dc.contributor.alternativeName | Kuh, Sung Uk | - |
dc.contributor.affiliatedAuthor | 구성욱 | - |
dc.contributor.affiliatedAuthor | 김근수 | - |
dc.contributor.affiliatedAuthor | 김긍년 | - |
dc.contributor.affiliatedAuthor | 신동아 | - |
dc.contributor.affiliatedAuthor | 조용은 | - |
dc.contributor.affiliatedAuthor | 진동규 | - |
dc.citation.volume | 62 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 240 | - |
dc.citation.endPage | 248 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.62(3) : 240-248, 2021-03 | - |
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