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Titolo:
Anterior interbody fusion in the treatment of the lumbar herniated nucleuspulposus
Autore:
Kim, NH;
Indirizzi:
Yonsei Univ, Coll Med, Dept Orthopaed Surg, Seoul 120752, South Korea Yonsei Univ Seoul South Korea 120752 aed Surg, Seoul 120752, South Korea
Titolo Testata:
YONSEI MEDICAL JOURNAL
fascicolo: 3, volume: 40, anno: 1999,
pagine: 256 - 264
SICI:
0513-5796(199906)40:3<256:AIFITT>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Keywords:
lumbar herniated nucleus pulposus; surgical treatment; anterior interbody fusion;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Kim, NH Yonsei Univ, Coll Med, Dept Orthopaed Surg, CPO Box 8044, Seoul 120752, South Korea Yonsei Univ CPO Box 8044 Seoul South Korea 120752 52, South Korea
Citazione:
N.H. Kim, "Anterior interbody fusion in the treatment of the lumbar herniated nucleuspulposus", YONSEI MED, 40(3), 1999, pp. 256-264

Abstract

One hundred and fourteen cases of lumbar herniated nucleus pulposus were studied retrospectively. I reviewed the clinical records and radiographs of patients treated with diskectomy and anterior interbody fusion. I followed the patients from 2 years up to 15 years, for an average of 2.9 years. The results were calculated statistically by Fisher exact test and Chi-square test. Among 114 patients, 69 patients (60.5%) were male and 45 patients (39.5%) were female. The most common age group was in its twenties (28.1%), while the whole study group ranged from 19 to 65 years. The most commonly involved level was L4-5 (73 cases, 60.4%). In clinical results, 83.3% of cases were excellent or good. The race of solid fusion was 87.8%. The most commontype of fusing pattern was type I. The satisfying clinical result had statistical correlation with the solid union of grafted bone and the fusion state of maintained intervertebral disk height, respectively, by Fisher exact test (p<0.001). The affecting factors in clinical results were the solid fusion anti fusion with the state of maintenance of intervertebral disk height (fusing pattern type I and II). I concluded that anterior diskectomy and interbody fusion is a recommendable method of treatment for lumbar herniated nucleus pulposus.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 06:37:13