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Early outcome of posterior cervical endoscopic discectomy : an alternative treatment choice for physically/socially active patients / Chi Heon Kim ; Chun Kee Chung ; Hyun Jib Kim ; Tae Ahn Jahng ; Dong Gyu Kim 1

[요약] 1

Introduction 1

Materials and methods 1

Patients 1

Operations 3

Results 3

Discussion 4

REFERENCES 5

초록보기

Anterior cervical discectomy and fusion (ACDF) is currently the standard treatment

for cervical disc disease. Some patients wish to be treated with a less invasive method,

because of their social/physical situations. Here we present one method of treatments

for socially/physically active patients. Three patients had triceps weakness

and mild posterior neck pain. The offending lesions were at the C6-7 level. All were

middle-aged soldiers with families. If conventional ACDF were performed, they would

have to retire from the military according to the regulation. They had to be able to

perform military drills after the treatment if they were going to be able to keep their

jobs. Because of their social/physical situations, all wanted to choose method with

that they could treat the disease and keep their jobs. For these reasons, the posterior

cervical endoscopic discectomies were performed. Ruptured fragments were

successfully removed in all. The arm pain improved by more than 90% in two patients

by 7 days and in the other patient by 2 months, respectively (excellent outcome by

Macnab’s criteria). None of the operations caused instability. All of the patients are

currently able to successfully perform their military drills without difficulty. The posterior

cervical endoscopic discectomy may be a promising alternative for the physically/

socially active patients.

권호기사

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참고문헌 (16건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Keyhole approach for posterior cervical discectomy: experience on 84 patients. 네이버 미소장
2 Ruetten S, Komp M, Merk H, Godolias G. A new full-endoscopic technique for cervical posterior foraminotomy in the treatment of lateral disc herniations using 6.9-mm endoscopes: prospective 2-year results of 87 patients. Minim Invasive Neurosurg 2007; 50: 219-26. 미소장
3 Range of motion change after cervical arthroplasty with ProDisc-C and prestige artificial discs compared with anterior cervical discectomy and fusion. 네이버 미소장
4 Modified transcorporeal anterior cervical microforaminotomy for cervical radiculopathy: a technical note and early results. 네이버 미소장
5 Factors predicting excellent outcome of percutaneous cervical discectomy: analysis of 111 consecutive cases 네이버 미소장
6 Percutaneous endoscopic cervical discectomy: clinical outcome and radiographic changes. 네이버 미소장
7 Anterior Minimally Invasive Approaches for the Cervical Spine 네이버 미소장
8 Swallowing and speech dysfunction in patients undergoing anterior cervical discectomy and fusion: a prospective, objective preoperative and postoperative assessment. 네이버 미소장
9 A Prospective Study of Quality of Life in Adults with Newly Diagnosed High-grade Gliomas: The Impact of the Extent of Resection on Quality of Life and Survival 네이버 미소장
10 Complications associated with cervical endoscopic discectomy with the holmium laser. 네이버 미소장
11 Microsurgical anterior cervical foraminotomy for radiculopathy: a new approach to cervical disc herniation. 네이버 미소장
12 Anterior Microforaminotomy for Treatment of Cervical Radiculopathy: Part 1—Disc-preserving “Functional Cervical Disc Surgery” 네이버 미소장
13 Comparison between transuncal approach and upper vertebral transcorporeal approach for unilateral cervical radiculopathy - a preliminary report. 네이버 미소장
14 Posterior Minimally Invasive Approaches for the Cervical Spine 네이버 미소장
15 Endoscopic Posterior Cervical Foraminotomy and Discectomy 네이버 미소장
16 POSTERIOR CERVICAL SPINE SURGERY FOR RADICULOPATHY 네이버 미소장