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Titolo:
Surgical results of single cervical spinal fusion by plate osteosynthesis in chronic cervical radiculopathy.
Autore:
Perlick, L; Zander, D; Kraft, N; Wallny, T; Diedrich, O; Schmitt, O;
Indirizzi:
Univ Regensburg, Orthopad Klin, BRK Rheumazentrum, D-93077 Bad Abbach, Germany Univ Regensburg Bad Abbach Germany D-93077 , D-93077 Bad Abbach, Germany
Titolo Testata:
ZEITSCHRIFT FUR ORTHOPADIE UND IHRE GRENZGEBIETE
fascicolo: 5, volume: 138, anno: 2000,
pagine: 452 - 458
SICI:
0044-3220(200009/10)138:5<452:SROSCS>2.0.ZU;2-G
Fonte:
ISI
Lingua:
GER
Soggetto:
ANTERIOR INTERBODY FUSION; TERM FOLLOW-UP; BONE GRAFT; DEGENERATIVE DISEASE; ONE-LEVEL; DISCECTOMY; DISKECTOMY; FIXATION; STABILIZATION; COMPLICATIONS;
Keywords:
anterior plating; cervical spine; anterior spondylodesis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
57
Recensione:
Indirizzi per estratti:
Indirizzo: Perlick, L Univ Regensburg, Orthopad Klin, BRK Rheumazentrum, Kaiser Karl V Allee 3, D-93077 Bad Abbach, Germany Univ Regensburg Kaiser Karl V Allee 3 Bad Abbach Germany D-93077
Citazione:
L. Perlick et al., "Surgical results of single cervical spinal fusion by plate osteosynthesis in chronic cervical radiculopathy.", Z ORTHOP GR, 138(5), 2000, pp. 452-458

Abstract

Introduction: In anterior cervical stabilization, collapsise of the grafted bone with resulting localized kyphosis and graft dislocation has been reported. It was the aim of this clinical trial to evaluate the benefit of additional plating while taking specific implant-related complications into account. Methods: The results of single level anterior cervical spinal fusionwere evaluated. In 44 patients suffering from chronic cervical radicular pain with degenerative changes, arthrodesis with iliac-crest bone and plate fixation was performed. Apart from elinical parameters, the pre- and postoperative segmental kyphosis and cervical lordosis were evalualed. Results: The total cervical alignment increased from 15.4 degrees to 18.5 degrees while the alignment of the fused segment increased from 2.6 degrees to 7.7 degrees Postoperative decrease of correction did not occur. Bony fusion was confirmed in 95% after 12 months and 100% aller 36 months. Our results show that patients had more relief from radicular pain (80%) ihan from unspecificneck pain (66%). Discussion: In single level anterior cervical fusion, additional plating successfully prevents dislocation of the bone graft and postoperative kyphosis. The clinical results and pseudarthrosis rate do not differ from studies without plating. Long. term follow-up studies are necessary to show the benefit of the reduced postoperative kyphosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 23:02:52