直近一年間の累計
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ID 118757
タイトル別表記
The reoperation rate after single-level ACDFs
著者
Tadokoro, Nobuaki Kochi University
Kiyasu, Katsuhito Kochi University
Aoyama, Naoki Kochi University
Mizobuchi, Shuhei Kochi University
Ikeuchi, Masahiko Kochi University
Kida, Kazunobu Kubokawa Hospital
Tani, Toshikazu Kubokawa Hospital
Kasai, Yusuke Kochi Prefectural Hata Kenmin Hospital
キーワード
Anterior cervical discectomy and fusion
adjacent segment disease
reoperation
anterior cervical plate
interbody cage
資料タイプ
学術雑誌論文
抄録
Introduction : The plate fixation for anterior cervical discectomy and fusion (ACDF) has become increasingly widespread for facilitating early mobilization and improving fusion rate. However, apart from multilevel operations, there is still some controversy over its use for single-level ACDF. This retrospective study has compared the reoperation rates after single-level ACDFs performed at our institution between the procedures with and without plate fixation. Methods : This retrospective study included a total of 131 patients with ≥ 1-year of follow-up after a single-level ACDF, consisting of 100 patients without plating (conventional ACDF) and 31 patients with plate fixation (plated ACDF). Results : Eleven patients (8.4% of all patients) : four conventional ACDFs (4% of the conventional ACDFs) and seven plated ACDFs (22.6% of the plated ACDFs), had reoperation surgeries. The incidence of reoperation was significantly higher in the plated ACDFs than in the conventional ACDFs (P = 0.0037). The log-rank test revealed a significant difference (P = 0.00003) in 5-year reoperation-free survival rates between the conventional (96.9%) and the plated groups (68.3%). Conclusion : Anterior cervical plating may have a negative impact on the adjacent segment integrity, resulting in an increased reoperation rate after a single-level ACDF at relatively shorter postoperative time points.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
出版者
Tokushima University Faculty of Medicine
70
3-4
開始ページ
334
終了ページ
342
並び順
334
発行日
2023-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版