Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이진규 | - |
dc.date.accessioned | 2017-10-13T07:38:45Z | - |
dc.date.available | 2017-10-13T07:38:45Z | - |
dc.date.issued | 2015-12 | - |
dc.identifier.citation | BMC MUSCULOSKELETAL DISORDERS, v. 16, Article number 381 | en_US |
dc.identifier.issn | 1471-2474 | - |
dc.identifier.uri | https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-015-0836-3 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.11754/29630 | - |
dc.description.abstract | Background: We sought to evaluate the long-term outcomes of long-level instrumented posterolateral fusion (PLF) directly compared to those with short level instrumented PLF for degenerative spinal stenosis. Methods: From 1987-2002, patients who underwent instrumented PLF with wide decompression for degenerative spinal stenosis were reviewed. A total of 295 patients were available for follow-up over 10 years (mean, 14 years). These patients were divided into Group 1 (fusion of 1 or 2 levels) and Group 2 (fusion of three or more levels). Clinical and radiological outcomes were evaluated. Results: On clinical outcomes, Group 1 showed better results than Group 2 based on the Katz's Activities Daily Living index (p = 0.024), Kirkaldy-Willis criteria (p = 0.001) and the Korean version of the Oswestry disability index (p = 0.01). However, excellent and good outcome was noted in more than 64.5 % in Group 2. For radiological outcomes, overall fusion rate was higher in Group 1 compared with Group 2, but not significantly different (p = 0.35). However, the metal problems and surgical complications were more developed in Group 2 (p < 0.001). Although the radiologic changes on adjacent segments increased in accordance with the follow-up period, particularly in Group 2 (p < 0.001), no correlation with clinical symptoms was found. Conclusions: The long-level fusion group maintained acceptable clinical and radiological outcomes compared to the short-level fusion group at minimum of 10 years of follow-up. | en_US |
dc.description.sponsorship | This work was supported by the research fund of Hanyang University (HY-2013-N). Otherwise, no benefits in any form have been or will be received from a commercial partly related directly or indirectly to the subject of this manuscript. | en_US |
dc.language.iso | en | en_US |
dc.publisher | BIOMED CENTRAL LTD | en_US |
dc.subject | Degenerative spinal stenosis | en_US |
dc.subject | Instrumented posterolateral fusion | en_US |
dc.subject | Pedicle screw fixation | en_US |
dc.subject | Long term outcome | en_US |
dc.title | Long-term outcomes of long level posterolateral fusion in lumbar degenerative disease: comparison of long level fusion versus short level fusion: a case control study. | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1186/s12891-015-0836-3 | - |
dc.relation.journal | BMC MUSCULOSKELETAL DISORDERS | - |
dc.contributor.googleauthor | Lee, Jin Kyu | - |
dc.contributor.googleauthor | Kim, Chul Woong | - |
dc.contributor.googleauthor | Kang, Chang-Nam | - |
dc.relation.code | 2015006409 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | jklee77 | - |
dc.identifier.orcid | http://orcid.org/0000-0001-8547-4616 | - |
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