Revision surgeries following artificial disc replacement of cervical spine
DC Field | Value | Language |
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dc.contributor.author | Park, Jong-Beom | - |
dc.contributor.author | Chang, Han | - |
dc.contributor.author | Yeom, Jin S. | - |
dc.contributor.author | Suk, Kyung-Soo | - |
dc.contributor.author | Lee, Dong-Ho | - |
dc.contributor.author | Lee, Jae Chul | - |
dc.date.accessioned | 2021-08-11T16:44:24Z | - |
dc.date.available | 2021-08-11T16:44:24Z | - |
dc.date.issued | 2016-12 | - |
dc.identifier.issn | 1017-995X | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/8590 | - |
dc.description.abstract | Objective: We investigated causes and results of revision surgeries after artificial disc replacement of cervical spine (C-ADR). Methods: Twenty-one patients (mean age: 52.8) who underwent revision surgery after C-ADR and who had a minimum 2-year of follow-up were included into this study. The mean time between the primary and revision surgeries was 21 months. During their primary surgeries, 14 patients underwent single level C-ADR, 2 two-level C-ADR, and 5 two-level hybrid surgery for 16 radiculopathy, 3 myelopathy, and 2 adjacent segment diseases. Causes for revision surgeries were at least one of the followings: 17 poor patient selections, 7 insufficient decompressions, 7 malpositions, 6 subsidences, 3 osteolysis, and 1 postoperative infection. Results: Sixteen patients underwent anterior removal of C-ADR, one-level discectomy and fusion (N = 11), two-level discectomy (N = 3) or one-level corpectomy (N = 2) and fusion. Three patients of keel type C-ADR with heterotopic ossification underwent posterior laminoforaminotomy and fusion. Two patients underwent combined procedures due to infection or severe subsidence and osteolysis. At the 2year follow-up, neck (7.3 vs 1.6) and arm (7.0 vs 1.3) visual analog scales and Neck Disability Index score (46.7 vs 16.32) were improved (all, p < 0.05). According to Odom's criteria, 86% of the patients were satisfied and 91% achieved solid fusion. No major complications developed except for transient dysphagia in 6 patients (29%). Conclusions: In this small case series, revision surgeries provided successful outcomes in failed C-ADR without major complications. Careful patient selection and meticulous surgical techniques are important to avoid disappointing clinical outcome or even failure of C-ADR. (C) 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B. V. This is an open access article under the CC BY-NC-ND license. | - |
dc.format.extent | 9 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Turk Ortopedi ve Travmatoloji Dernegi | - |
dc.title | Revision surgeries following artificial disc replacement of cervical spine | - |
dc.type | Article | - |
dc.publisher.location | 터키 | - |
dc.identifier.doi | 10.1016/j.aott.2016.04.004 | - |
dc.identifier.scopusid | 2-s2.0-85011088507 | - |
dc.identifier.wosid | 000392918400004 | - |
dc.identifier.bibliographicCitation | Acta Orthopaedica et Traumatologica Turcica, v.50, no.6, pp 610 - 618 | - |
dc.citation.title | Acta Orthopaedica et Traumatologica Turcica | - |
dc.citation.volume | 50 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 610 | - |
dc.citation.endPage | 618 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | CLINICAL-TRIAL | - |
dc.subject.keywordPlus | ARTHROPLASTY | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | MYELOPATHY | - |
dc.subject.keywordPlus | DISKECTOMY | - |
dc.subject.keywordPlus | FUSION | - |
dc.subject.keywordAuthor | Revision surgeries | - |
dc.subject.keywordAuthor | Artificial disc replacement | - |
dc.subject.keywordAuthor | Cervical spine | - |
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