整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
頚椎前方除圧固定術後再手術例の検討
東野 修弓削 至芝 啓一郎植田 尊善
著者情報
ジャーナル フリー

2004 年 53 巻 2 号 p. 402-405

詳細
抄録

Although anterior spinal decompression and fusion (ASF) serves as the established surgical method for cervical spondylotic myelopathy and cervical disc herniation, there are some cases requiring re-operation because of disorders in adjacent segments over long-term. At our institution thirty-six cases underwent laminoplasty after ASF. Twenty-five cases of them were caused by disorders in the adjacent segments. The risk factors of these disorders in the adjacent segments of ASF evaluated were number of segments of fusion, diameter of spinal canal, presence of stenosis except for fusion segments in the first operation, pre-operative Japanese Orthopaedic Association cervical myelopathy score, pre and post operative cervical alignment. There were no significant differences in all subjects. Although ASF has a high risk of re-operation compared with posterior surgery in the first operation, it also has certain merits. Posterior surgery is not considered superior to anterior surgery only in terms of lower rate of re-operation. We could not identify the risk factors of disorders in the adjacent segments of ASF in this study.

著者関連情報
© 2004 西日本整形・災害外科学会
前の記事 次の記事
feedback
Top