Author/Editor		Lipovšek, Matej; Strojnik, Tadej; Bunc, Gorazd
Title		Interkorporalna spondilodeza po Bak-ovi metodi
Translated title		Interbody fusion after Bak system
Type		članek
Source		In: Komadina R, Stahovnik A, editors. 5. Celjski dnevi. Zbornik izbranih predavanj simpozija o poškodbah in okvarah hrbtenice; 2005 apr 8-9; Celje. Celje: Splošna bolnišnica Celje,
Publication year		2005
Volume		str. 23-37
Language		slo
Abstract		Starting point. The aim of the study was to establish the benfit of interbody fusion after BAK' method representing the modern operative procedure for treatment of cervical spondylosis, disc degeneration and instability in the group of our patients from 1997 until 2001. Methods. Forty-two patienfs suffering from a degenerative and static disorders in the cervical spine were included in a retrospective study. They were all operated upon by the BAK/c operative procedure. This method enables anterior discectomy and, through performing a precisel y drilled hole between the two vertebrae, also the resection of osteophytes andlor osteophytic bar that produce mechanical narrowing of the spinal canal and intervertebral foramina. Through distraction of the intervertebral disc space and by implanting a hollow cylindrical titanium cage the BAK procedure offers a bone fusion between the two neighbouring vertebrae. Results. The results show the successfulness of the method in 81,6% for treatment of brachialgia in 31 of the 38 patients in the first months following surgery By the end of the first post operative year improvement was recorded in further 13,2% of patients. The overall results using the BAK's procedure shows therefore a cumulative success of 94,8%. The assessment of a neurological deftcit resulting from radiculopathy in a group of 11/38 reveals stepwise improvement. In the first postoperative months only 2 (18,2%) patients improved whereas further 7 (63,6%) showed partial improvement only a year after surgery. The post operative improvement of patients (4/42) suffering from cervical spondylotic myelopathy appeared only in two out of four patients that was observed a year after surgery. The remaining two patients showed no change in the clinical state two years after surgery In one, however, further deterioration of myelopathy was nofed five years later. Summary. (Abstract truncated at 2000 characters).
Descriptors		INTERVERTEBRAL DISK DISPLACEMENT CERVICAL VERTEBRAE SPINAL FUSION CERVICO-BRACHIAL NEURALGIA TOMOGRAPHY, X-RAY COMPUTED MAGNETIC RESONANCE IMAGING TREATMENT OUTCOME