AN ANALYSIS OF FAILURES IN PRIMARY CERVICAL ANTERIOR SPINAL-CORD DECOMPRESSION AND FUSION

被引：58

作者：

SHINOMIYA, K

OKAMOTO, A

KAMIKOZURU, M

FURUYA, K

YAMAURA, I

机构：

[1] Department of Orthopaedic Surgery, Tokyo Medical and Dental University, Tokyo

来源：

JOURNAL OF SPINAL DISORDERS | 1993年 / 6卷 / 04期

关键词：

SURGERY; MULTIPLE; CERVICAL SPINE; ANTERIOR PROCEDURE;

D O I：

10.1097/00002517-199306040-00001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Recently, postoperative results of cervical spondylosis, disc herniation, and ossification of the posterior longitudinal ligament (OPLL) after anterior cervical surgeries have improved. However, occasional unsatisfactory cases needing a second operation remain. We analyzed and developed strategies for multioperated neck (MON) cases; all patients had two operations. From 1965 to 1988, 443 cervical anterior surgeries were performed in our hospitals; 53 (12.0%) of these patients needed second operations. These MON cases were classified by the following causes: pseudarthrosis, graft fracture, insufficient decompression, misdiagnosis, and adjacent disc problems. These groups were analyzed, and the resulting surgical strategies, including indications and techniques of anterior surgery, are described.

引用

页码：277 / 288

页数：12

共 29 条

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