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KMID : 0359819950240040450
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 4 p.450 ~ p.457
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Surgical Experiences of Pedicle Screw Fixation for Lumber Degenerative Disease
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이호연
임승철/김창진/이정교/권병덕/황충진
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Abstract
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Pedicle screw fixation is coming into wide use as an adjunct to fusion procedures for the patients with various lumbar degenerative diseases causing spinl stenosis in conjunction with traditional decompressive laminectomy. Twenty-five patients
with
lumbar degerative disease who underwent surgery using the pedicle screw since 1989 were review with reference to surgical outcome and problems associated with pedicle screw instrumentation of the lumbar spine.
Based on return to work or activities of daily living, drug usage patterns. and complaints of pain. twenty-two patients (88%) had a successful clinical results. Major complications included three permanent nerve root deficits. one symptomatic
instrument
failure. one deep wound infection at donor site and two pulmonary embolisms ; one patient led to a fatal outcome.
However the pedicle screw is a very effective tool of immobilization of the lumbar spine and it is recommended that more careful preoperative evaluation. batter surgical technique and experience are required to avoid the serious complications and
toe
achieve better surgical outcome.
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