Anterior Interbody Fusion using a Horizontal Cylinder Cage in a Degenerative Lumbar Spine.
- Author:
Seok Woo KIM
1
;
Young Seok CHUNG
;
Yung Khee CHUNG
;
Jun Dong CHANG
;
Chang Ju LEE
Author Information
1. Department of Orthopedic Surgery, Hallym University School of Medicine, seoul, korea.
- Publication Type:Original Article
- Keywords:
Degenerative;
Anterior interbody fusion;
Horizontal cylinder cage
- MeSH:
Decompression;
Follow-Up Studies;
Humans;
Spine*
- From:The Journal of the Korean Orthopaedic Association
2001;36(3):265-272
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the surgical effect of anterior interbody fusion using a horizontal cylinder cage in a degenerative lumbar spine. MATERIALS AND METHODS: We evaluated 16 patients (at 20 levels) who received anterior interbody fusion using a horizontal cylinder cage in a degenerative lumbar spine or in secondary segmental lumbar instability following decompression at the same level from May 1997 to May 1998. Preoperative, postoperative, and follow-up radiographs were taken to compare the posterior disc height, neuroforaminal area, and the neuroforaminal volume. Fusion rates and clinical results were also reviewed. RESULTS: Posterior disc height (mm), neuroforaminal area (mm2) and neuroforaminal volume (mm3) were increased and maintained during the follow-up period. Radiological fusion was noted in 17 levels (85%) at a postoperative 1 year. Satisfactory clinical results were also obtained in 17 levels (85%). CONCLUSION: Anterior interbody fusion using a horizontal cylinder cage might be an effective method in the surgical treatment of degenerative lumbar spine or secondary segmental lumbar instability.