본문 바로가기 주메뉴 바로가기
22대 대한민국 국회 국회정보길라잡이 국회의원검색
회원가입 로그인
HOME

정보검색

소장정보 검색

국회도서관 홈으로 정보검색 소장정보 검색

결과 내 검색

동의어 포함

고급검색

인명/단체명

저자정보 상세정보
인명/단체명을 입력하세요.

키워드

  • 대표어

  • 외국어

-

초록보기

Objective: Cement augmentation is widely used to enhance pedicle screw fixation, particularly in osteoporotic patients. However, its effects on adjacent segment disease (ASD) and implant failure in multilevel lumbar interbody fusion remain unclear. This study aimed to ssess the effectiveness of cement augmentation in preventing implant failure and its impact on ASD risk using finite element analysis (FEA).

Methods: A FEA of L2–S1 multilevel lumbar interbody fusion was performed to evaluate the biomechanical effects of cement augmentation. Three models were analyzed under normal and osteoporotic conditions: type 1 (no augmentation), type 2 (upper instrumented vertebra [UIV] augmentation), and type 3 (UIV and UIV+1 augmentation). Range of motion (ROM), intradiscal pressure (IDP), screw pull-out risk, and implant failure were assessed.

Results: Cement augmentation significantly reduced screw pull-out risk, particularly in osteoporotic conditions, where type 1 exhibited a failure rate of 91.5%, while type 2 and type 3 remained below 39%. Cement augmentation did not demonstrate a substantial impact on ASD development, as ROM and IDP changes remained within a minimal range in this FEA model. However, osteoporosis was associated with a substantial increase in IDP, with a result as high as 809%. Despite its benefits, augmentation at UIV+1 increased the risk of pedicle screw breakage and vertebral body fracture, with L1 (UIV+1) lower endplate fracture rate of 82.7% in type 3, compared to 56.6% in type 2 and 52.8% in type 1.

Conclusion: Cement augmentation effectively improves screw fixation and does not appear to significantly increase ASD risk based on this FEA study. Limiting cement augmentation to the UIV level in lumbar multilevel fusion may help reduce the risk of implant failure, though further clinical validation is required to confirm these biomechanical findings.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Long-term outcomes of multilevel anterior cervical osteotomy and posterior instrumentation for OPLL-induced myelopathy with cervical kyphosis Shin-Jae Kim, Pratyush Shahi, Sang-Ho Lee, Junseok Bae p. 623-630
Atlantoaxial reconstruction : the artful evolution of craniovertebral junctional spine surgery Sang Hoon Hwang, Seung Jun Ryu, Min Han Kim, Jong Koo Lee, Sun Woo Jang, Danbi Park, Chong Man Kim, Jin Hoon Park p. 634-649
(The) role of D-wave monitoring in motor-evoked potential loss during intramedullary spinal cord tumors resection Hangeul Park, Woojin Kim, Jungbo Sim, Ho Sung Myeong, Young Doo Choi, Gilho Kwak, Bo Eun Kim, Jeongeum Park, Sung-Min Kim, Keewon Kim, Hee-Pyoung Park, Jun-Hoe Kim, Chang-Hyun Lee, Chun Kee Chung, Chi Heon Kim p. 650-662
Impact of fracture deficit volume on fusion success in anterior odontoid screw fixation JinWoo Jung, Young San Ko, Yu Sung Yoon, Dae-Chul Cho p. 859-869
(A) novel clinical insight into idiopathic syringomyelia with occult arachnoid webs : neuropathological features, differential diagnosis, and surgical strategy Chunli Lu, Min Yin, Fan Yuan, Chenyuan Ding, Xingwen Wang, Fengzeng Jian p. 846-858
Advances in metastatic disease spinal oncology : novel technology without forgetting the fundamentals of surgical treatment Harsh Jain, Ranbir Ahluwalia, Ilya Laufer, Scott L. Zuckerman p. 829-845
Biportal endoscopic techniques for severe dural ossification in thoracic ossification of the ligamentum flavum : insights from preoperative imaging Ji Yeon Kim, Su Yong Choi, Dong Chan Lee, Hyeun Sung Kim, Dong Hwa Heo p. 819-828
Real-time water pressure monitoring in unilateral biportal endoscopic spine surgery Dongwoo Yu, Ikchan Jeon, Sang Woo Kim p. 812-818
Association between facet joint orientation and degenerative spondylolisthesis : a radiological study of double-level versus single-level degenerative spondylolisthesis Zhentao Zhang, Qingshuang Zhou, Haicheng Zhou, Bin Wang, Yong Qiu, Zezhang Zhu, Xu Sun p. 803-811
(The) impact of the COVID-19 pandemic on school-based scoliosis screening program in South Korea Hong Jin Kim, Jae Hyuk Yang, Hyung Rae Lee, Seung Woo Suh, Dong-Gune Chang p. 794-802
Retro-odontoid pseudotumor in atlantoaxial instability : insights into presence, subtypes, and postoperative regression Dong Hun Kim, Jung Woo Hur, Il Sup Kim, Ho Jin Lee, Jee Yong Kim, Jung Jae Lee, Jong Bum Lee, Jae Taek Hong p. 784-793
Long fiber type carbon fiber reinforced plastic pedicle screws exhibit high strength, comparable to titanium-alloy screws, and are resistant to loosening Kohei Morita, Hiroki Ohashi, Kenji Tsuchida, Yasuhiro Furuta, Satoshi Tani, Kostadin Karagiozov, Yuichi Murayama p. 774-783
Biomechanical impact of cement augmentation on pedicle screw fixation and adjacent segment disease in multilevel lumbar fusion : a finite element analysis Min-Young Jo, Sung-Jae Lee, Je-Hoon An, Young-Hoon Kim, Jun-Seok Lee, Hyung-Youl Park p. 763-773
Efficacy of proximal junctional tethering in spinal fusion surgery for preventing proximal junctional kyphosis and proximal junctional failure : a meta-analysis Yu-Chi Hsu, Hsuan-Tung Lee, Ying-Fong Su, Yang-Ching Chen, Serena S. Hu, Ching-Chi Hsu, Pei-I Tsai, Wei-Bin Hsu, Den-Tai Lin, Ching-Yu Lee, Tsung-Jen Huang, Tan Lam Minh Nguyen, Meng-Huang Wu p. 663-677
(The) contribution of paraspinal sarcopenia on sagittal imbalance in degenerative kyphosis Ming Wang, Abdukahar Kiram, Jie Li, Yunlong Xu, Jingtan Hu, Xiaodong Qin, Yu Wang, Jun Qiao, Benlong Shi, Saihu Mao, Zezhang Zhu, Yong Qiu, Zhen Liu p. 680-691
Chiari malformation and hindbrain descent : characterization and new classification based on mechanism and pathogenesis, and surgical management Misao Nishikawa, Paolo A. Bolognese, Masaki Yoshimura, Kentarou Naito, Noritsugu Kunihiro, Hiromichi Ikuno, Mitsuhiro Hara, Hiroaki Sakamoto, Kenji Ohata, Takeo Goto p. 696-712
Posterolateral sulcus approach for intramedullary hemorrhage associated with cavernous malformation of high cervical spine : operative technique and outcomes Yoshiki Fujikawa, Hideki Kashiwagi, Masao Fukumura, Ryokichi Yagi, Ryo Hiramatsu, Masahiro Kameda, Naosuke Nonoguchi, Motomasa Furuse, Shinji Kawabata, Toshihiro Takami, Masahiko Wanibuchi p. 713-724
Prognostic factors in craniocervical realignment for crainovertebral junction kyphosis with negative cervical imbalance : a comprehensive study Dong Hun Kim, Jae Taek Hong, Jin Young Kim, Kang Bin Koo, Dae Hee Lee, Jung Woo Hur, Ho Jin Lee, Il Sup Kim p. 725-736
Endoscopic endonasal transnasopharyngeal approach for ventral craniovertebral junction lesions : a technical note Takeshi Hongo, Yusuke Morinaga, Sotaro Oshida, Shunsuke Shibao, Ryu Kurokawa, Yasuhiro Tsunemi, Takashi Kashiwagi, Tsuguhisa Nakayama, Hiroyoshi Akutsu p. 737-747
Vitamin A deficiency induces congenital vertebral malformation via retinoic acid signaling mediated sclerotome dysplasia Xu’an Huang, Yingxi Chen, Jiafeng Dai, Yuchang Zhou, Xin Wan, Zhen Wang, Xiaodi Hu, Yang Jiao, Haoyu Cai, Junduo Zhao ... [et al.] p. 748-762

추천서가 (다양한 추천 자료를 만나보세요)

권호기사보기

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 기사목차

권호

기사명 원문보기 기사목차
닫기