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The Efficacy of Cervical Pedicle Screw Is Enhanced When Used With 5.5-mm Rods for Metastatic Cervical Spinal Tumor Surgery.
Park, Danbi; Lee, Sang Hyub; Lee, Subum; Park, Jemin; Yang, Hyeon Gyu; Kim, Chongman; Park, Jin Hoon.
Afiliación
  • Park D; Department of Neurological Surgery, Asan Medical Center, Seoul, Korea.
  • Lee SH; College of Nursing, Korea University, Seoul, Korea.
  • Lee S; Department of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea.
  • Park J; Department of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
  • Yang HG; Department of Neurological Surgery, Asan Medical Center, Seoul, Korea.
  • Kim C; Department of Neurological Surgery, Asan Medical Center, Seoul, Korea.
  • Park JH; Department of Industrial and Management Engineering, Myongji University, Seoul, Korea.
Neurospine ; 21(1): 352-360, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38291748
ABSTRACT

OBJECTIVE:

The cervical spine presents challenges in treating metastatic cervical spinal tumors (MCSTs). Although the efficacy of cervical pedicle screw placement (CPS) has been well established, its use in combination with 5.5-mm rods for MCST has not been reported. This study aimed to evaluate the efficacy of CPS combined with 5.5-mm rods in treating MCST and compare it with that of CPS combined with traditional 3.5-mm rods.

METHODS:

This retrospective study analyzed 58 patients with MCST who underwent posterior cervical spinal fusion surgery by a single surgeon between March 2012 and December 2022. Data included demographics, surgical details, imaging results, numerical rating scale score for neck pain, Eastern Cooperative Oncology Group performance status, and Spine Oncology Study Group Outcomes Questionnaire responses.

RESULTS:

Preoperative Spinal Instability Neoplastic Scores were significantly higher in the 5.5-mm rod group. Greater kyphotic changes in the index vertebra were observed in the 3.5-mm rod group. Neck pain reduction was significantly better in the 5.5-mm rod group.

CONCLUSION:

CPS with 5.5-mm rods provides superior biomechanical stability and effectively resists forward bending momentum in posterior MCST fusion surgery. These findings support the use of 5.5-mm rods to enhance surgical outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Neurospine Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Neurospine Año: 2024 Tipo del documento: Article Pais de publicación: Corea del Sur