인공 요추간판 치환술 도중과 직후에 발생한 단기추시 중 합병증

국문 초록 (Abstract)

목적: 인공 요추간판 치환술 시 저자가 경험한 합병증에 대하여 기술하고, 합병증의 발생과 관련된 요인 및 합병증의 발생이 임상 결과에 어떠한 영향을 미칠 수 있는지 알아보고자 하였다.
대상 및 방법: 2002년 5월부터 2004년 5월까지 인공 요추간판 치환술을 받은 43명의 환자를 대상으로 술 중 또는 술 후에 발생하였던 합병증을 조사하였다. 환자의 평균 연령은 45세(남자: 18명, 여자: 25명)였다. 예상되는 위험 인자들과 각각의 합병증 발생과의 관련성 여부를 조사하였다. 임상 결과의 평가는 visual analogue scale 및 Oswestry disability index (ODI)를 이용하였다.
결과: 술 중 합병증으로 정맥 혈관 파열이 2예, 복막 파열이 2예 있었다. 술 후 합병증으로 일시적인 방사통이 6예 있었고, 인공 추간판의 침강이 1예, 인공 추간판의 덮개판과 폴리에틸렌 핵의 해리가 1예 있었다. 합병증 발생과 여러 인자들과 관련성에 대한 통계적 유의성을 찾을 수 없었다(p＞0.05). 합병증의 발생 유무에 따른 VAS와 ODI의 유의한 차이는 없었다.
결론: 인공 요추간판 치환술 도중 및 직후에 비교적 많은 합병증이 발생하였으나, 술 후 임상 결과에 유의한 영향을 미치지 않았다.

다국어 초록 (Multilingual Abstract)

Purpose: To investigate the perioperative complications and their effect on the clinical outcomes after a lumbar total disc replacement (TDR).
Materials and Methods: Forty-three patients (18 men and 25 women) who had undergone a lumbar TDR from May 2002 and May 2004 were reviewed. Subgroup analysis was performed to determine if age, gender, previous discectomy, multilevel, learning curve of operator, or the difference between preoperative and postoperative disc height were associated with the development of intraoperative or postoperative complications. The patients rated their low back pain on a visual analogue scale and completed an Oswestry disability index (ODI) at the preoperative and post-operative follow-up.
Results: There were 4 cases of intraoperative complications (2 major vein injuries and 2 peritoneal rupture) and 8 cases of postoperative complications (6 radicular pains, 1 subsidence of implant, and 1 dissociation of endplate and polyethylene core). There were no significant differences in the incidence of complications according to age, gender, prior surgery, multilevel, learning curve, or disc height difference (p ＞ 0.05). In addition, there were no significant differences in the VAS and ODI between the complication and non-complication groups.
Conclusion: The authors experienced a relatively high rate of complications (11/43 patients) following TOR and statistical analysis did not reveal any associated risk factors.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰
• 결론
• 참고문헌
• 국문초록

참고문헌 (Reference)

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