계명대학교 의학도서관 Repository

요추부 추간판내장증에서 추간판제거술과 후방 추체간유합술을 이용한 치료 - 최소 3년 추시 -

Metadata Downloads
Author(s)
강철형조철현정수원
Keimyung Author(s)
Kang, Chul HyungCho, Chul Hyun
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Keimyung Medical Journal
Issued Date
2009
Volume
28
Issue
1
Keyword
Disc excisionInternal disc derangementPosterior lumbar interbody fusion
Abstract
To evaluate the efficacy of disc excision and posterior lumbar interbody fusion (PLIF) in patients of internal disc derangement with chronic persistent low back pain that conservative treatment was not effective, this study reviewed 40 patients retrospectively who had been followed-up for at least 3 years among 89 patients underwent disc excision and PLIF from July 1999 to February 2005. Their clinical outcomes were evaluated by the method of Schecher et al. The fusion result and the degenerative change of proximal and distal adjacent segments were evaluated by radiologic methods. 31 cases (77.5%) showed satisfactory clinical outcomes.
Fusion rate was 87.5%. However, five cases (12.5%) resulted in nonunion that was treated with anterior fusion in three cases. Proximal segmental degenerative change occurred in nine cases (22.5%), but there was no distal segmental degenerative change. two cases (5%) showed dural tear for which primary suture was done, and neurologic symptoms on three cases (7.5%) were improved without specific problems. In patients of internal disc derangement that conservative treatment was not effective, the result of the both disc excision and PLIF was satisfactory. It is suggested that disc excision and PLIF for internal disc derangement patients is an effective modality of treatments.
Alternative Title
Disc Excision and Posterior Lumbar Interbody Fusion for Internal Disc Derangement - Minimal 3-Year Follow Up -
Keimyung Author(s)(Kor)
강철형
조철현
Publisher
Keimyung University School of Medicine
Citation
강철형 et al. (2009). 요추부 추간판내장증에서 추간판제거술과 후방 추체간유합술을 이용한 치료 - 최소 3년 추시 -. Keimyung Medical Journal, 28(1), 75–81.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15429
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2009
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.