Cervical Disc Disorders Research Articles

A Clinical Survey of the Patients in Neuro-Pain Clinic at Ajou University

intervertebral disc 16.5%, hyperhidrosis 12.3%, cervical disc disorder 10.5%, acute herpes zoster 8.2%, postherpetic neuralgia 7.9%, and trigeminal neuralgia 7.0%; in admitted patients, acute herpes zoster 17.6%, trigeminal neuralgia 15.6%, lumbar herniated intervertebral disc 13.0%, postherpetic neuralgia 11.2%, hyperhidrosis 9.8%, and complex regional pain syndrome 7.0%. Conclusions: The patients visiting our pain clinic have presented with a wide variety of diseases. This improved care reflects an effort to expand our fields not only to the management of outpatients but also inpatients, as well as to the treatment of new fields of disease. In the future, We need to manage various pain patients not only in outpatients but also in inpatients to expand our field even through pain clinic is rapidly growing in Korea. (Korean J Pain 2007; 20: 181�� 185)

Threaded cages for degenerative cervical disease.

Multiple techniques are used to accomplish anterior interbody fusion in the cervical spine. These various options reflect the lack of any one approach to obtain superior results. Extrapolating from the lumbar spine experience, a cervical cage was proposed as an alternative to the status quo. A device evaluation study was done to determine the safety and efficacy of the cage with a comparison with current allograft or autograft fusion techniques. The study resulted in two publications. One study is a multicenter trial whereas the other is a one-author study with long-term results. A review of the data from both studies follows. Comparable outcomes were seen with the allograft and autograft control group and the experimental group in the multicenter trial. However, that study reported significantly better fusion rates for the patients with cervical cages compared with the control group. Both studies reported a high percentage of donor site morbidity in the patients in the control group who had autograft fusion. A trend toward better outcomes for patients who received a cervical cage was seen in the long-term followup study. The data presented suggest interbody fusion cages are a safe and effective treatment of degenerative cervical disc disorders and avoid iliac crest donor site morbidity.

Treatment with an Anterior Cervical Fusion Cage Was Safe and Effective for Cervical Degenerative Disc Disorders

A prospective randomized multicenter clinical evaluation of an anterior cervical fusion cage. Spine. 2000 Oct 15;25:2646-55. Question: In patients with cervical degenerative disc disorders, is treatment with an anterior cervical fusion cage safe and effective? Design: Prospective, randomized, unblinded, controlled trial with 2-year follow-up. Setting: 26 investigative centers in the United States, including 50 participating surgeons. Patients: 488 patients, 18 to 65 years of age (mean age, 46 years; 51% men). Inclusion criteria were radiographically confirmed discogenic radiculopathy of the cervical spine that involved 1 or 2 contiguous disc levels between C3 and C7 and 1 of the following symptoms: arm or shoulder pain, decreased strength, and abnormal sensation. Exclusion criteria included systemic infection, substantial metabolic bone disease, problems that could cause excessive surgical risk, active malignancy, and symptomatic degenerative disease at 3 disc levels. 390 patients had 1 disc level involved, and 98 patients had 2 disc …

レーザーの頚椎手術への応用

レーザーの頚椎手術への応用

けい椎疾患におけるＣＴ ｄｉｓｃｏｇｒａｐｈｙの検討

けい椎疾患におけるＣＴ ｄｉｓｃｏｇｒａｐｈｙの検討