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구상돌기 전절제술의 재발견: 전방 경추간판 절제술 및유합술 후 지속된 신경근증에 대한 개정술
Total Uncinatectomy Revisited: Revision Surgery for Persistent Radiculopathy Following Anterior Cevical Discectomy and Fusion(ACDF)

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Authors
홍완기; 강성식; 이동봉; 김호중; 이제민; 조현국; 장봉순; 이춘기; 염진섭
Issue Date
2014
Publisher
Korean Orthopaedic Association
Citation
The Journal of the Korean Orthopaedic Association, vol.49 no.5, pp. 394-399
Keywords
uncinate processuncovertebral jointradiculopathytotal uncinatectomyanterior cervical discectomy and fusion구상돌기구추관절신경근증구상돌기 전절제술전방 경추 유합술
Description
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
We report on a case involving total en bloc uncinatectomy of C7 without removal of the previously inserted cage, performed on a patient
with a history of previous anterior cervical discectomy and fusion without uncoforaminotomy at C5-6-7 who had persistent pain radiating
to the upper extremity along with progressive weakness. Satisfactory results were achieved. This procedure should be regarded as an
effective option for surgical treatment of persistent or recurrent radiculopathy caused by remaining foraminal stenosis following anterior
cervical fusion, and we suggest it as a new indication for this procedure.
추간공 절제술 없이 제5-6-7 경추간 전방 경추간판 절제술 및 추체간 유합술을 시행한 후 지속되는 방사통과 악화되는 위약감에 대
해, 이미 삽입된 케이지의 제거 없이 제7 경추의 일괄 구상돌기 전절제술만을 시행하여 만족스러운 결과를 얻을 수 있었던 증례를 보
고하는 바이다. 이 술식은 전방 경추간 유합술 후 골유합된 상태에서 잔존하는 추간공 협착증에 의해서 지속되거나 재발된 신경근증
의 치료에 효과적인 선택으로 고려될 수 있을 것이며, 이를 이 술식의 새로운 적응증으로 제안하는 바이다.
Language
Korean
URI
http://hdl.handle.net/10371/95805
DOI
https://doi.org/10.4055/jkoa.2014.49.5.394
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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