퇴행성 경추 신경근증에 대한 전방 수술 방법의 최근 개념 = Current Concept on the Surgical Treatment by Anterior Approach in Degenerative Cervical Radiculopathy

다국어 초록 (Multilingual Abstract)

Study Design: A review of the literature regarding anterior cervical surgery in degenerative cervical radiculopathy.
Objectives: To review and discuss anterior cervical spine surgery.
Summary of Literature Review: 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. Nevertheless, there is some controversy.
Materials and Methods: Literatures review.
Results: Surgical treatments using the anterior approach in degenerative cervical disease have shown excellent results. A range of techniques using plate augmentation and artificial disc replacement are now accepted as effective methods.
Conclusions: The appropriate method considering the pathologic status of the patient and surgeon’s surgical experience can prevent complications and lead to excellent surgical outcomes.
Key Words: Degenerative cervical radiculopathy, Anterior approach, Clinical outcome

국문 초록 (Abstract)

연구계획: 퇴행성 경추 질환의 전방도달법 수술적 치료에 대한 문헌 고찰.
목적: 퇴행성 경추 신경근증의 수술적 치료 중 전방도달법에 의한 다양한 방법들의 임상적 결과를 분석하여 임상적 적용에 도움을 주고자 하였다.
선행문헌의 요약: 퇴행성 경추 질환의 전방 도달법에 의한 수술적 치료는 진단 도구와 수술 기법의 개발로 수술이 점차 증가하며 우수한 결과가 보고되고 있으나 수술 수기나 기구의 사용에 있어 여전히 다양한 논란이 존재하고 있다.
대상 및 방법: 문헌 고찰.
결과: 경추부 전방 도달법에 의한 수술적 치료는 좋은 결과를 보여주고 있으며 금속판 보강이나 인공 추간판 치환술 등 새로운 기구의 사용도 점차 그효과가 입증되고 있다.
결론: 퇴행성 경추 병변에 의한 신경근증의 전방 수술 시 환자 병변의 해부학적 특성, 수술자의 숙련도에 따른 적절한 방법을 선택할 때 합병증을 방지하고 양호한 치료결과를 얻을 수 있을 것으로 생각된다.
색인 단어: 퇴행성 경추 질환, 전방 도달법, 임상적 결과약칭 제목: 퇴행성 경추 신경근증에 대한 전방 수술 방법

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