دورية أكاديمية
أعرض في EDS

Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study

التفاصيل البيبلوغرافية
العنوان: Longitudinal Spinous‐Splitting Laminoplasty with Coral Bone for the Treatment of Cervical Adjacent Segment Degenerative Disease: A 5‐Year Follow‐up Study
المؤلفون: Wei He, Da He, Qi‐long Wang, Wei Tian, Bo Liu, Ya‐jun Liu, Yu‐qing Sun, Yong‐gang Xing, Ning Yuan, Qiang Yuan, Bin Xiao, Bing Han, Yu‐mei Wang, Teng‐fei Ma, Ming‐ming Liu
المصدر: Orthopaedic Surgery, Vol 14, Iss 2, Pp 435-442 (2022)
بيانات النشر: Wiley, 2022.
سنة النشر: 2022
المجموعة: LCC:Orthopedic surgery
مصطلحات موضوعية: Adjacent segment disease, Cervical vertebrae, Laminectomy, Spinous process, Orthopedic surgery, RD701-811
الوصف: This study was designed to analyze the causes of cervical adjacent segment degenerative disease (ASDis), evaluate the surgical outcomes of longitudinal spinous‐splitting laminoplasty with coral bone (SLAC) during cervical reoperation, and accumulate data on reoperation with SLAC in a primary hospital. Based on the inclusion and exclusion criteria, we conducted a retrospective study involving 52 patients who underwent cervical reoperation for ASDis using SLAC at the spinal surgery department of the Beijing Jishuitan Hospital from 1998 to 2014. Among them, 39 were treated with anterior cervical fusion and internal fixation during the first operation (anterior cervical corpectomy with fusion [ACCF], n = 24; anterior cervical discectomy and fusion [ACDF], n = 11; and cervical disc arthroplasty [CDA], n = 4). Outcomes were the Japanese Orthopaedic Association (JOA) score, neck disability index (NDI) score, upper limb/neck and shoulder evaluated using a visual analogue scale (VAS), and rates of ASDis. In patients who underwent an anterior cervical approach in the first instance, the incidence of ASDis was significantly higher in the C3/4 gap than in the other gaps. In the ACCF group, the lateral radiograph of the cervical spine revealed that the distance between the anterior cervical plate and the adjacent segment disc was 5 (average, 6.2) years. The pre‐reoperation and last follow‐up values were as follows: mean Japanese Orthopaedic Association score, 10.2 ± 1.5 vs 15.5 ± 0.7 (P = 0.03); neck disability index, 26.2 vs 13.6 points (P = 0.01); upper‐limb visual analog scale (VAS) score, 6.1 vs 2.6 points (P = 0.04); and neck and shoulder VAS score, 6.6 vs 2.1 points (P = 0.03). SLAC is a simple technique in which the local anatomy is clearly visible and satisfactory clinical outcomes are obtained.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1757-7861
1757-7853
Relation: https://doaj.org/toc/1757-7853; https://doaj.org/toc/1757-7861
DOI: 10.1111/os.13027
URL الوصول: https://doaj.org/article/bb05dafb4da54810bfecb0ac0736e5b4
رقم الأكسشن: edsdoj.bb05dafb4da54810bfecb0ac0736e5b4
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17577861
17577853
DOI:10.1111/os.13027