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국소 자가골을 이용한 경추 전방 유합술의 유용성: 국소 자가골과 자가 장골의 비교
Usefulness of Anterior Cervical Interbody Fusion Using Locally Harvested Bone: Locally Harvested Bone Versus Autogenous Iliac Bone

대한정형외과학회지 2014년 49권 2호 p.147 ~ p.152

심대무(Shim Dae-Moo) - 원광대학교 의과대학 병원 정형외과
김태균(Kim Tae-Kyun) - 원광대학교 의과대학 병원 정형외과
오성균(Oh Sung-Kyun) - 원광대학교 의과대학 산본병원 정형외과
김상열(Kim Sang-Yeol) - 원광대학교 의과대학 산본병원 정형외과
이승빈(Lee Seung-Bin) - 원광대학교 의과대학 산본병원 정형외과

Abstract

Purpose: The purpose of this study is to evaluate the usefulness of locally harvested bone in anterior cervical interbody fusion.

Materials and Methods: A retrospective review was conducted, including 31 patients who underwent anterior cervical interbody fusion using a polyetheretherketone (PEEK) cage and anterior plate fixation. We randomly divided the patients into two groups, local bone group and iliac bone group. In 15 patients of the local bone group, the cage was filled with locally harvested bone, and in another 16 patients of the iliac bone group, the cage was filled with autogenous iliac bone.

Results: Improvements in mean visual analogue scale (VAS) scores, from 5.8 and 7.7 to 1.6 and 2.3 for neck pain and arm pain, respectively, were observed in cases using locally harvested bone, while the improvements were from 5.7 and 7.2 to 1.4 and 2.2, respectively, in those using autogenous iliac bone grafts. However, no significant differences in mean VAS and neck disability index were observed between the two groups at the last follow up (p>0.05). Radiologic union was achieved at 14.0±2.50 weeks in the local bone group, and at 12.62±1.58 weeks in the iliac bone group. However, no significant difference was observed between the two groups (p=0.076).

Conclusion: Utilization of locally harvested bone for packing in a PEEK cage for anterior cervical interbody fusion is considered a useful method because it gives satisfactory clinical results for retention of bone union and lordosis angles.

키워드

cervical spine, anterior cervical spinal fusion, PEEK cage, locally harvested autobone, autogeneous iliac bone graft

KMID : 0361620140490020147

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KCD코드

ICD 03

건강보험코드

국소 자가골을 이용한 경추 전방 유합술의 유용성: 국소 자가골과 자가 장골의 비교 Usefulness of Anterior Cervical Interbody Fusion Using Locally Harvested Bone: Locally Harvested Bone Versus Autogenous Iliac Bone

Abstract

키워드

국소 자가골을 이용한 경추 전방 유합술의 유용성: 국소 자가골과 자가 장골의 비교
Usefulness of Anterior Cervical Interbody Fusion Using Locally Harvested Bone: Locally Harvested Bone Versus Autogenous Iliac Bone