Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
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Current concept on the operative treatment for degenerative cervical disc disease

경추 디스크 질환의 수술적 치료의 최신 지견

  • Jeon, Taek-Soo (Spine Center, Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Chang, Han (Spine Center, Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Choi, Byung-Wan (Spine Center, Department of Orthopedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine)
  • 전택수 (인제대학교 해운대백병원 정형외과학교실 척추센터) ;
  • 장한 (인제대학교 해운대백병원 정형외과학교실 척추센터) ;
  • 최병완 (인제대학교 해운대백병원 정형외과학교실 척추센터)
  • Published : 2011.09.10
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Abstract

Degenerative changes in the cervical spinal column are common in the adult population. Although most patients respond well to initial nonsurgical management, those who continue to have symptoms or patients with clinically evident myelopathy are candidates for surgical intervention. The objective of this article is to review and discuss the surgical treatment for degenerative cervical spine disease. Anterior cervical spine surgery is commonly used to treat numerous pathologic entities and is expected to increase with the development of surgical techniques and instruments. Autogenous tricortical iliac crest struts are the best option for anterior fusion, but they are associated with donor site morbidity. Equivalent fusion rates have been reported after allografting and autografting, combined with the use of anterior plates. Artificial disc replacement, one of the emerging motion-sparing technologies, is currently used and has shown excellent results. However, longer follow-up is needed to determine whether these devices can function well over time. Surgical treatments in degenerative cervical disease have shown excellent results. Appropriate methods that take into account the pathologic status of the patient and the surgeon's surgical experience can prevent complications and lead to excellent surgical outcomes.

Keywords

References

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