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Revision surgeries following artificial disc replacement of cervical spine
27939974

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dc.contributor.authorPark, Jong-Beomen
dc.contributor.authorChang, Han-
dc.contributor.authorYeom, Jin S.-
dc.contributor.authorSuk, Kyung-Soo-
dc.contributor.authorLee, Dong-Ho-
dc.contributor.authorLee, Jae Chul-
dc.date.accessioned2017-04-25T07:47:08Z-
dc.date.available2017-07-30T21:43:14Z-
dc.date.issued2016-12-09-
dc.identifier.citationACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA Vol.50 No.6, pp. 610-618-
dc.identifier.issn1017-995X-
dc.identifier.urihttps://hdl.handle.net/10371/117537-
dc.description.abstractObjective: 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 2-year 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.
en
dc.language.isoenen
dc.publisherTURKISH ASSOCIATION OF ORTHOPAEDICS AND TRAUMATOLOGYen
dc.subjectRevision surgeriesen
dc.subjectArtificial disc replacementen
dc.subjectArtificial disc replacement-
dc.subjectCervical spine-
dc.titleRevision surgeries following artificial disc replacement of cervical spineen
dc.title.alternative27939974en
dc.typeArticle-
dc.contributor.AlternativeAuthor박종범-
dc.contributor.AlternativeAuthor장한-
dc.contributor.AlternativeAuthor염진섭-
dc.contributor.AlternativeAuthor석경수-
dc.contributor.AlternativeAuthor이동호-
dc.contributor.AlternativeAuthor이재철-
dc.identifier.doi10.1016/j.aott.2016.04.004-
dc.description.srndOAIID:RECH_ACHV_DSTSH_NO:T201700278-
dc.description.srndRECH_ACHV_FG:RR00200001-
dc.description.srndADJUST_YN:-
dc.description.srndEMP_ID:A079510-
dc.description.srndCITE_RATE:.398-
dc.description.srndFILENAME:1-s2.0-S1017995X16302814-main-1.pdf-
dc.description.srndDEPT_NM:의학과-
dc.description.srndEMAIL:spine@snu.ac.kr-
dc.description.srndSCOPUS_YN:Y-
dc.description.srndFILEURL:https://srnd.snu.ac.kr/eXrepEIR/fws/file/e6c808f1-ff9c-463b-a5a7-7f27f51b02a2/link-
dc.description.srndCONFIRM:Y-
dc.identifier.rimsid43134-
dc.identifier.srndT201700278-
dc.type.rimsART-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
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