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Tek Seviye Anterior Servikal Diskektomi ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri

Year 2020, Volume: 7 Issue: 3, 384 - 388, 30.09.2020
https://doi.org/10.34087/cbusbed.732716

Abstract

Öz:
Giriş: Servikal dizilim yaşam kalitesi ve myelopatiyle ilişkilidir. Anterior servikal diskektomi ve füzyon’un amacı nöral yapıları dekomprese etmek, servikal dizilimi korumak ve/veya restore etmektir. Bu çalışmanın amacı günümüzde yaygın olarak kullanılan anterior servikal diskektomi ve füzyon’un servikal sagittal dizilim üzerine etkisini değerlendirmektir.
Materyal ve Metot: Biz retrospektif olarak tek seviye anterior servikal diskektomi ve füzyon uygulanan 16 hastayı ortalama 16 ay takip edilmesi ardından radyolojik olarak servikal sagittal dizilimi ve klinik sonuçlarını değerlendirdik.
Bulgular: Preoperatif ve postoperatif 12.ayda ölçülen servikal sagittal dizilim parametrelerinde istatistiksel olarak anlamlı fark bulunmazken; hastaların preoperatif ve postoperatif 12.ayda değerlendirilen Vizüel analog skala değerlerinde anlamlı bir fark gözlendi.
Sonuç: Tek seviye anterior servikal diskektomi ve füzyon sonrası radyolojik olarak anlamlı bir fark çıkmasa bile klinik olarak hastalarda belirgin bir iyileşme gözlenmiştir.

References

  • Referans 1: Ames CP, Blondel B, Scheer JK, Schwab FJ, Le Huec JC, Massi- cotte EM, Patel AA, Traynelis VC, Kim HJ, Shaffrey CI, Smith JS, Lafage V (2013) Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy. Spine (Phila Pa 1976),38:S149–S160
  • Referans 2: Cepoiu-Martin M, Faris P, Lorenzetti D, Prefontaine E, Noseworthy T, Sutherland L. Artificial cervical disc arthroplasty: a systematic review. Spine (Phila Pa 1976), 2011;36(25):E1623–33
  • Referans 3: Korinth MC. Treatment of cervical degenerative disc disease: current status and trends. Zentralbl Neurochir. 2008;69(3):113–24
  • Referans 4: Smith GW, Robinson RA (1958) The treatment of certain cervical spine disorders by anterior removal of theintervertebral disc and interbody fusion. J Bone Joint Surg Am, 40:607–624
  • Referans 5: Shriver MF, Lewis DJ, Kshettry VR, Rosenbaum BP, Benzel EC, Mroz TE (2015) Pseudoarthrosis rates in anterior cervical discec- tomy and fusion: a meta-analysis. Spine J, 15:2016–2027
  • Referans 6: Scheer JK, Tang JA, Smith JS, Acosta FL Jr, Protopsaltis TS, Blondel B et al (2013) Cervical spine alignment, sagittal deform- ity, and clinical implications: a review. J Neurosurg Spine, 19:141–159
  • Referans 7: Park MS, Kelly MP, Lee DH, Min WK, Rahman RK, Riew KD (2014) Sagittal alignment as a predictor of clinical adjacent segment pathology requiring surgery after anterior cervical arthrodesis. Spine J, 14:1228–1234
  • Referans 8: Harrison DE, Harrison DD, Cailliet R, et al. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine (Phila Pa 1976), 2000;25(16):2072-2078
  • Referans 9: Toyama Y, Nakazawa H, Koyanagi T,et al (1994) The optimum position offusion in atlanto-axial arthrodesis. Orthop Trans, 18:352–353
  • Referans 10: Koeppen D, Piepenbrock C, Kroppenstedt S, et al. The influence of sagittal profile alteration and final lordosis on the clinical outcome of cervical spondylotic myelopathy. A Delta-Omega-analysis. PLoS One, 2017;12:e0174527
  • Referans 11: Naderi S, Ozgen S, Pamir MN, Ozek MM, Erzen C. 1998. Cervical spondylotic myelopathy: surgical results and factors affecting prognosis. Neurosurgery, 43:43–49
  • Referans 12: Goffin J, Geusens E, Vantomme N, Quintens E, Waerzeggers Y, Depreitere B, et al : Long-term follow-up after interbody fusion of the cervical spine. J Spinal Disord Tech, 17 : 79-85, 2004
  • Referans 13: Jagannathan J, Shaffrey CI, Oskouian RJ, et al. Radiographic and clinical out comes following single-level anterior cervical discectomy andallograft fusion without plate placement or cervical collar. J Neurosurg Spine, 2008;8(5):420-428
  • Referans 14: Kwon B, Kim DH, Marvin A, Jenis LG. Outcomes following anterior cervical discectomy and fusion: the role of interbody disc height, angulation, and spinous process distance. J Spinal Disord Tech, 2005;18(4):304-308
  • Referans 15: Sakai K, Yoshii T, Hirai T, Arai Y, Shinomiya K, Okawa A (2017) Impact of the surgical treatment for degenerative cervical myelopathy on the preoperative cervical sagittal balance: a review of prospective comparative cohort between anterior decompression with fusion and laminoplasty. Eur Spine J, 26:104–112
  • Referans 16: Kim JH, Park JY, Yi S et al (2015) Anterior cervical discectomy and fusion alters whole-spine sagittal alignment. Yonsei Med J, 56:1060–1070
  • Referans 17: H.J. Kim, B.W. Choi, J. Park, S. Pesenti, V Lafage.Anterior cervical discectomy and fusion can restore cervical sagittal alignment in degenerative cervical disease Eur J Orthop Surg Traumatol, 29 (2019), pp. 767-774
  • Referans 18: Gillis CC, Kaszuba MC, Traynelis VC (2016) Cervical radio- graphic parameters in 1- and 2-level anterior cervical discectomy andfusion. J Neurosurg Spine, 25:421–429
  • Referans 19: Jun HS, Jang IB, Song JH, Kim TH, Park MS, Kim SW, Oh JK (2014) Is it possible to evaluate the parameters of cervical sagittal alignment on cervical CT scan? Spine (Phila Pa 1976), 2014 May 1;39(10):E630-6
Year 2020, Volume: 7 Issue: 3, 384 - 388, 30.09.2020
https://doi.org/10.34087/cbusbed.732716

Abstract

References

  • Referans 1: Ames CP, Blondel B, Scheer JK, Schwab FJ, Le Huec JC, Massi- cotte EM, Patel AA, Traynelis VC, Kim HJ, Shaffrey CI, Smith JS, Lafage V (2013) Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy. Spine (Phila Pa 1976),38:S149–S160
  • Referans 2: Cepoiu-Martin M, Faris P, Lorenzetti D, Prefontaine E, Noseworthy T, Sutherland L. Artificial cervical disc arthroplasty: a systematic review. Spine (Phila Pa 1976), 2011;36(25):E1623–33
  • Referans 3: Korinth MC. Treatment of cervical degenerative disc disease: current status and trends. Zentralbl Neurochir. 2008;69(3):113–24
  • Referans 4: Smith GW, Robinson RA (1958) The treatment of certain cervical spine disorders by anterior removal of theintervertebral disc and interbody fusion. J Bone Joint Surg Am, 40:607–624
  • Referans 5: Shriver MF, Lewis DJ, Kshettry VR, Rosenbaum BP, Benzel EC, Mroz TE (2015) Pseudoarthrosis rates in anterior cervical discec- tomy and fusion: a meta-analysis. Spine J, 15:2016–2027
  • Referans 6: Scheer JK, Tang JA, Smith JS, Acosta FL Jr, Protopsaltis TS, Blondel B et al (2013) Cervical spine alignment, sagittal deform- ity, and clinical implications: a review. J Neurosurg Spine, 19:141–159
  • Referans 7: Park MS, Kelly MP, Lee DH, Min WK, Rahman RK, Riew KD (2014) Sagittal alignment as a predictor of clinical adjacent segment pathology requiring surgery after anterior cervical arthrodesis. Spine J, 14:1228–1234
  • Referans 8: Harrison DE, Harrison DD, Cailliet R, et al. Cobb method or Harrison posterior tangent method: which to choose for lateral cervical radiographic analysis. Spine (Phila Pa 1976), 2000;25(16):2072-2078
  • Referans 9: Toyama Y, Nakazawa H, Koyanagi T,et al (1994) The optimum position offusion in atlanto-axial arthrodesis. Orthop Trans, 18:352–353
  • Referans 10: Koeppen D, Piepenbrock C, Kroppenstedt S, et al. The influence of sagittal profile alteration and final lordosis on the clinical outcome of cervical spondylotic myelopathy. A Delta-Omega-analysis. PLoS One, 2017;12:e0174527
  • Referans 11: Naderi S, Ozgen S, Pamir MN, Ozek MM, Erzen C. 1998. Cervical spondylotic myelopathy: surgical results and factors affecting prognosis. Neurosurgery, 43:43–49
  • Referans 12: Goffin J, Geusens E, Vantomme N, Quintens E, Waerzeggers Y, Depreitere B, et al : Long-term follow-up after interbody fusion of the cervical spine. J Spinal Disord Tech, 17 : 79-85, 2004
  • Referans 13: Jagannathan J, Shaffrey CI, Oskouian RJ, et al. Radiographic and clinical out comes following single-level anterior cervical discectomy andallograft fusion without plate placement or cervical collar. J Neurosurg Spine, 2008;8(5):420-428
  • Referans 14: Kwon B, Kim DH, Marvin A, Jenis LG. Outcomes following anterior cervical discectomy and fusion: the role of interbody disc height, angulation, and spinous process distance. J Spinal Disord Tech, 2005;18(4):304-308
  • Referans 15: Sakai K, Yoshii T, Hirai T, Arai Y, Shinomiya K, Okawa A (2017) Impact of the surgical treatment for degenerative cervical myelopathy on the preoperative cervical sagittal balance: a review of prospective comparative cohort between anterior decompression with fusion and laminoplasty. Eur Spine J, 26:104–112
  • Referans 16: Kim JH, Park JY, Yi S et al (2015) Anterior cervical discectomy and fusion alters whole-spine sagittal alignment. Yonsei Med J, 56:1060–1070
  • Referans 17: H.J. Kim, B.W. Choi, J. Park, S. Pesenti, V Lafage.Anterior cervical discectomy and fusion can restore cervical sagittal alignment in degenerative cervical disease Eur J Orthop Surg Traumatol, 29 (2019), pp. 767-774
  • Referans 18: Gillis CC, Kaszuba MC, Traynelis VC (2016) Cervical radio- graphic parameters in 1- and 2-level anterior cervical discectomy andfusion. J Neurosurg Spine, 25:421–429
  • Referans 19: Jun HS, Jang IB, Song JH, Kim TH, Park MS, Kim SW, Oh JK (2014) Is it possible to evaluate the parameters of cervical sagittal alignment on cervical CT scan? Spine (Phila Pa 1976), 2014 May 1;39(10):E630-6
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Neurosciences
Journal Section Araştırma Makalesi
Authors

Ülkün Ünlü Ünsal 0000-0001-5194-3138

Publication Date September 30, 2020
Published in Issue Year 2020 Volume: 7 Issue: 3

Cite

APA Ünsal, Ü. Ü. (2020). Tek Seviye Anterior Servikal Diskektomi ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(3), 384-388. https://doi.org/10.34087/cbusbed.732716
AMA Ünsal ÜÜ. Tek Seviye Anterior Servikal Diskektomi ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. September 2020;7(3):384-388. doi:10.34087/cbusbed.732716
Chicago Ünsal, Ülkün Ünlü. “Tek Seviye Anterior Servikal Diskektomi Ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 7, no. 3 (September 2020): 384-88. https://doi.org/10.34087/cbusbed.732716.
EndNote Ünsal ÜÜ (September 1, 2020) Tek Seviye Anterior Servikal Diskektomi ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 7 3 384–388.
IEEE Ü. Ü. Ünsal, “Tek Seviye Anterior Servikal Diskektomi ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri”, CBU-SBED: Celal Bayar University-Health Sciences Institute Journal, vol. 7, no. 3, pp. 384–388, 2020, doi: 10.34087/cbusbed.732716.
ISNAD Ünsal, Ülkün Ünlü. “Tek Seviye Anterior Servikal Diskektomi Ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 7/3 (September 2020), 384-388. https://doi.org/10.34087/cbusbed.732716.
JAMA Ünsal ÜÜ. Tek Seviye Anterior Servikal Diskektomi ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;7:384–388.
MLA Ünsal, Ülkün Ünlü. “Tek Seviye Anterior Servikal Diskektomi Ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 7, no. 3, 2020, pp. 384-8, doi:10.34087/cbusbed.732716.
Vancouver Ünsal ÜÜ. Tek Seviye Anterior Servikal Diskektomi ve Füzyon Sonrası Servikal Sagittal Dizilimin değerlendirilmesi; Klinik Seri. CBU-SBED: Celal Bayar University-Health Sciences Institute Journal. 2020;7(3):384-8.