Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Chinese Journal of Bone and Joint Injury》 2009-01
Add to Favorite Get Latest Update

Cause and Countermeasure in Cervical Revision Surgery

Gu Hongsheng,Li Zhenyu,Yan Hongyin,et al.Department of spine surgery,the second people's hospital of Shenzhen,Shenzhen,518035  
Objective To discuss the indications,operative methods and clinic curative effects of the cervical revision surgery.Methods Twenty-one cases of cervical vertebrae post-operation underwent cervical revision operation between April 1998 and September 2007.The time of revision from the first operation was 4 to 28 months with an average 15.3 months.All patients represented clinic symptoms,including scruff pains 16 ones,cervical motion restricted 5 times;the previous spine cord symptoms aggravated 8 ones,new spinal compression 7 ones.The preoperative diagnosis for the first time operation included:lower cervical fracture dislocation 6 cases,cervical spondylotic radiculopathy 2 cases,cervical spondylotic myelopathy 9 cases,cervical instability 4 cases.The operation style consisted of merely anterior cervical decompression plus auto-ilium graft 4 cases,anterior cervical decompression and plate fixation 8 cases,anterior cervical decompression and cage fusion 2 cases,anterior vertebrae part or total resection and internal fixation 3 cases,posterior simple CerviFix fixation 3 cases,double open door depression 1 case.Results All patients were followed up for 6 to 50 months with an average 20.4 months.The postoperative curative effects were 13 cases excellent(61.9%),6 cases good(28.6%),1 case inefficacy and 1 case aggravation.The JOA graded 2~14(8.65±0.37) preoperatively and 8~16(14.27±0.69) postoperatively.There was a significant difference(P0.01).Twenty-one cases bone graft had fusion after 6 months.There were no complication,which involved laryngeal nerve and laryngeal nerve injury,tracheo-asophageal leak,leakage of cerebrospinal fluid and respiratory system.Conclusion The cervical revision style depends on specific condition.Preoperative proper detail operation schedule,thorough decompression and correct fixation are the key to the success of the revision operation.
【CateGory Index】: R687.3
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
【Citations】
Chinese Journal Full-text Database 2 Hits
1 Wang Jian,Qu Dongbin,Jin Dadi,et al. Department of Orthopaedic and Spine Surgery,Nanfang Hospital,Southern Medical University,Guangzhou,510515;Influential Factors of Indirectly Correlative Complications for Anterior Cervical Spine Surgery[J];Chinese Journal of Bone and Joint Injury;2006-09
2 CHEN Deyu, JIA Lianshun, ZHAO Dinglin, et al. Department of Orthopaedics, Changzheng Hospital, Shanghai 200003, China;Revision surgery in the patients with cervical spondylosis after anterior decompression[J];Chinese Journal of Orthopaedics;2002-03
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 WANG Liangyi, YU Guanbiao, XU Jianwei. Department of Orthopaedics, Shanghai Municipal Corps Hospital, Chinese Peoples Armed Police Forces, Shanghai 201103, China;Study on reliability of four methods for measurement of intervertebral heights after anterior cervical decompression and fusion[J];Journal of Spinal Surgery;2004-03
2 LIU Jing-sheng,WANG Yu-liang,WAN Lin(Dept of Orthopaedics,the Second Hospital of Lanzhou University,Lanzhou,Gansu 730030,China);Anterior reduction and fixation for lower cervical fracture[J];Journal of Clinical Orthopaedics;2009-03
3 Liang-Yi Wang,De-Yu Chen,Yong-Fei Guo,Jian-Wei Xu,Xin-Wei W ang Liang-Yi Wang,De-Yu Chen,Yong-Fei Guo,Jian-Wei Xu,Xin-Wei Wang,Department of Orthopaedics,Changzheng Hospital,Second Military Medi cal University,Shanghai 200003,China;Effect of the anterior column height of cervical spondylotic myelopathy on the functional improvement rate by anterior de-compression and interbody fusion[J];Chinese Journal of Clinical Rehabilitation;2004-02
4 XIE Ning, TAN Jun, SHEN Kang-ping, et al. Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China;Revision of caged cervical intervertebral fusion[J];Chinese Journal of Orthopaedics;2003-09
5 WANG Lang-yi,CHEN De-yu,GUO Yong-fei,et al.Department of Orthopaedics,Changzheng Hospital,Shanghai 200003;Biomechanical analysis of the effect of different distracting height on the cervical stability after anterior decompression[J];The Orthopedic Journal of China;2004-Z4
6 WANG Song-gang,ZHANG Zuo-lun,JIANG Zhen-song, et al.Department of Spinal Surgery,Shandong Provincial Hospital,Clinical Medical College of Shandong University,Jinan 250021;The discussion on the correlated problems of anterior cervical reoperations[J];The Orthopedic Journal of China;2005-09
7 XU Ying-min CUI Qing HAN Jian-rong LI Hai-qing YANG Zhong-hua;Effect of the degeneration in adjacent segments on the long-term results of anterior decompression for cervical spine[J];Orthopedic Journal of China;2007-19
8 WANG Liangyi,CHEN Deyu,XU J ianwei,et al[Author's address]Department of Orthopaedics,Changzheng Hospital,The Second Military Medical University,Shanghai,200003,China;Factors affecting the treatment results of anterior decompression for cervical spondylotic myelopathy[J];Chinese Journal of Spine and Spinal Cord;2004-03
9 WANG Shaobo,WANG Shenglin,CAI Qinlin Department of Orthopaedics,the Third Hospital of Peking University,Beijing,100083,China;Analysis of the cause for reoperation of oppressive cervical myelopathy[J];Chinese Journal of Spine and Spinal Cord;2005-02
10 MENG Xianzhong, CAO Junming, SHEN Yong, MENG Xianguo, YANG Dalong, YANG Liu. Department of Spinal Surgery, the Third Aff iliated Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051, P.R.China.;LONG-TERM EFFECT OF EXCESSIVE LENGTH OF BONE GRAFT VIA ANTERIOR CERVICAL APPROACH ON CERVICAL CURVATURE AND AXIAL SYMPTOM[J];Chinese Journal of Reparative and Reconstructive Surgery;2009-08
【Secondary Citations】
Chinese Journal Full-text Database 7 Hits
1 JIANG Liang, LIU Zhongjun, DANG Gengting, et al. Department of Orthopaedics, The Third Hospital, Beijing University, Beijing 100083, China;Surgical treatment of cervical spondylotic myelopathy in aged patients[J];Chinese Journal of Orthopaedics;2001-01
2 JIN Da-di, WANG Jian, QU Dong-bin. Department of Orthopaedic and Spine Surgery, Nanfang Hospital, Southern Medical University,Guangzhou 510515, China;Analysis of early complications in anterior cervical spine surgery[J];Chinese Journal of Orthopaedics;2005-02
3 JIA Lianshun, YUAN Wen,NI Bin,et al Department of Orthopaedics,Changzheng Hospital,Second Military Medical University,Shanghai 200003;Longterm Results of Surgical Treatment of Cervical Spondylotic Myelopathy[J];CHINESE JOURNAL OF ORTHOPAEDICS;1999-05
4 CHEN De-yu,JIA Lian-shun,SONG Dian-wen,et al.Department of Orthopaedics,Changzheng Hospital,Shanghai 200003;Cervical Spondylosis with Myelopathy Treated by Anterior Expending Decompression with Removal of Hypertrophy Posterior Longitudinal Ligament[J];The Orthopedic Journal of China;2001-08
5 /Jia Lianshun;Liu Hongkui;Li Jiashun;et al(Department of Orthopaedic,Changzheng Hospital of Second Military Medical University,Shanghai,200003);Evaluation of reoperation of cervical spondylosis(A report of 130 cases)[J];CHINESE JOURNAL OF SPINE AND SPINAL CORD;1994-02
6 Shi Shu-shan;Ji Xin-min;Xu Shao-ting,et al;An analysis of the complications of anterior cervical decompression and interbody fusion[J];CHINESE JOURNAL OF SPINE AND SPINAL CORD;1995-01
7 ZHAO Dinglin\ YAN Lisheng\ CHEN Deyu,et al//;Application of 3 kinds of interface fixation(TFC CHTF and BAK) after anterior cervical spine decompression:62 cases report[J];CHINESE JOURNAL OF SPINE AND SPINAL CORD;1998-04
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved