KMID : 0361620140490050394
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Journal of the Korean Orthopaedic Association 2014 Volume.49 No. 5 p.394 ~ p.399
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Total Uncinatectomy Revisited: Revision Surgery for Persistent Radiculopathy Following Anterior Cervical Discectomy and Fusion (ACDF)
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Hong Wan-Kee
Kang Sung-Shik Lee Dong-bong Kim Ho-Joong Lee Je-Min Cho Hyeon-Guk Chang Bong-Soon Lee Choon-Ki Yeom Jin-Sup
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Abstract
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We report on a case involving total en bloc uncinatectomy of C7 without removal of the previously inserted cage, performed on a patient with a history of previous anterior cervical discectomy and fusion without uncoforaminotomy at C5-6-7 who had persistent pain radiating to the upper extremity along with progressive weakness. Satisfactory results were achieved. This procedure should be regarded as an effective option for surgical treatment of persistent or recurrent radiculopathy caused by remaining foraminal stenosis following anterior cervical fusion, and we suggest it as a new indication for this procedure.
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KEYWORD
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uncinate process, uncovertebral joint, radiculopathy, total uncinatectomy, anterior cervical discectomy and fusion
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