在仪器上层放置子是否可以降低青少年异常学脊椎病的近端结节位风险?
Mehmet Erkilinc1,2, Melanie Coathup3, Michael Grant Liska4
1Department of Orthopedics, Johns Hopkins University, Baltimore, MD, USA. mehmet_erkilinc@yahoo.com.
概括
横向过程可以在青少年异常学脊椎病 (AIS) 患者的脊柱融合后预防近端结节 (PJK). 这种手术技术显示,与脚螺丝相比,PJK发病率较低.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 儿科手术 儿科手术
背景情况:
- 靠近结节 (PJK) 是儿童和青少年脊柱形手术后的常见并发症.
- PJK可能导致严重的术后问题,包括变形恶化,疼痛和患者不满.
研究的目的:
- 为了评估横向过程在预防PJK后后脊柱融合在青少年异常学脊椎病 (AIS) 的有效性.
主要方法:
- 对接受后脊髓融合的AIS患者 (2015年11月 - 2019年5月) 的回顾性分析,至少2年随访.
- 患者根据在上部仪器脊椎 (UIV) 的仪器水平进行了分层:横向工艺与脚螺丝.
- 评估了包括近端结角 (PJA) 在内的放射性参数.
主要成果:
- 在337名分析患者中,PJK发生在8.9%的患者中.
- 与螺丝组 (13.3%) 相比,PJK的发病率在子组 (3.2%) 中明显较低.
- 更高的手术前胸部形和更大的形纠正与PJK的发展有关.
结论:
- 在UIV水平的横向过程与在经历后脊髓融合的AIS患者中PJK风险降低有关.
- 手术前的阴影症和纠正程度是PJK的危险因素.
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