Technical Arrangement of the Williams-Isu Method for Anterior Cervical Discectomy and Fusion
-
- Kogure Kazunari
- Department of Neurosurgery, Graduate School of Medicine, Nippon Medical School Department of Neurosurgery, Nippon Medical School Tama Nagayama Hospital
-
- Isu Toyohiko
- Department of Neurosurgery, Kushiro Rosai Hospital
-
- Node Yoji
- Department of Neurosurgery, Graduate School of Medicine, Nippon Medical School Department of Neurosurgery, Nippon Medical School Tama Nagayama Hospital
-
- Tamaki Tomonori
- Department of Neurosurgery, Graduate School of Medicine, Nippon Medical School Department of Neurosurgery, Nippon Medical School Tama Nagayama Hospital
-
- Kim Kyongsong
- Department of Neurosurgery, Graduate School of Medicine, Nippon Medical School Department of Neurosurgery, Nippon Medical School Chiba Hokuso Hospital
-
- Morimoto Daijiro
- Department of Neurosurgery, Graduate School of Medicine, Nippon Medical School Department of Neurosurgery, Nippon Medical School
-
- Morita Akio
- Department of Neurosurgery, Graduate School of Medicine, Nippon Medical School Department of Neurosurgery, Nippon Medical School
この論文をさがす
抄録
Anterior cervical fixation with autologous bone transplantation-without the need for harvesting bone from other sites, such as the ilium-was developed by Williams and modified by Isu et al. In recent intervertebral fusion procedures, after harvesting the cuboid bone from vertebral bodies, a hydroxyapatite block is placed between two harvested vertebral bones in the same way as in the sandwich method for intervertebral fixation. According to previous studies, this procedure has the following disadvantages: (i) as the corrective force for cervical kyphosis is insufficient, it could not be adapted for patients with preoperative kyphosis; (ii) special devices, including a microsurgical saw, are required for harvesting vertebral bones. In our modified method, we used a conventional high-speed drill instead of a microsurgical saw. Nevertheless, the results show that the operated spine can be stabilized to a greater extent by decreasing the height of the grafted bone, and this might help in reducing postoperative kyphosis.
収録刊行物
-
- 日医大誌
-
日医大誌 82 (1), 50-53, 2015
日本医科大学医学会