在脊髓融合后的相邻部分疾病
Christopher L McDonald1,2, Daniel Alsoof1, Jacob Glueck2
1Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island.
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|June 12, 2023
概括
邻近细分体疾病涉及化区域附近的脊椎退化,导致疼痛和不稳定等症状. 治疗通常是非手术,但在严重的情况下可能需要手术.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 退行性脊柱状况 退行性脊柱状况
背景情况:
- 邻分段疾病 (ASD) 是一种退行性过程,发生在以前融合的脊柱分段旁边.
- 自闭症可以表现为新的临床症状,包括根基病变,骨髓病变或不稳定.
- 病因学是多因素的,涉及疾病的自然史,生物力学压力,患者特异性因素,手术技术和脊柱对齐.
研究的目的:
- 审查相邻细分疾病的特征,病因和治疗方法.
- 突出目前对ASD管理的理解和未来研究方向.
主要方法:
- 文献综述和对邻近细分病的当前知识的综合.
- 分析病因因素和治疗选择,包括非手术和手术干预.
主要成果:
- 非手术治疗是邻近细分病的首要治疗方法.
- 手术干预,主要是减压和融合,适用于特定情况下.
- 在某些情况下,可以考虑隔离式减压.
结论:
- 进一步的随机对照试验是必要的,以指导相邻细分病的治疗进展.
- 微创和内镜手术技术的发展需要进一步研究ASD管理.
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