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增加软组织深度与磁控生长棒的停滞有关

K Aaron Shaw¹, Adam Jamnik¹, Anna McClung¹

¹Department of Pediatric Orthopedic Surgery, Scottish Rite for Children Hospital, 2222 Welborn St, Dallas, TX, USA.

North American Spine Society journal

|June 19, 2023

概括

磁控生长棒 (MCGR) 可以在早期发病的脊髓缩症 (EOS) 治疗中停滞. 在手术前更深的软组织和更高的BMI增加了MCGR停滞的风险,影响了治疗的有效性.

科学领域:

脊柱外科手术脊柱外科手术
儿科整形医生儿科整形医生
生物医学工程生物医学工程

背景情况:

磁控生长棒 (MCGR) 已被广泛用于早期发病的脊髓缩症 (EOS).
MCGR延长依赖于远程磁场,但分散力因软组织深度而减少.
高水平的MCGR停滞需要对促成因素进行调查.

研究的目的:

评估手术前软组织深度对EOS患者MCGR停滞率的影响.
为了确定增加软组织深度是否与MCGR植入物失败相关.

主要方法:

55名EOS患者接受MCGR治疗的回顾性审查.
纳入标准:至少2年的随访和手术前的高级脊柱成像 (MRI/CT) 用于软组织深度测量.
主要结果:MCGR停滞;次要结果:X光学参数和执行器长度增加.

主要成果:

18名患者中有7名 (38.9%) 经历了MCGR停滞,平均随访时间为46.1个月.
停滞与更大的手术前软组织深度 (21.5 ± 4.4 毫米对比16.5 ± 4.1 毫米,p=0.025) 有关.
增加的BMI也与MCGR停滞相关 (p=0.007).

结论:

手术前软组织深度和BMI是EOS中MCGR停滞的重要风险因素.
研究结果支持增加软组织深度会降低MCGR分心能力.
需要进一步的研究来验证这些结果,并为MCGR植入症候群提供信息.

关键词:

分散注意力的故障早期发病的脊柱状形.磁控的生长棒磁控的生长棒软组织深度软组织深度停滞不前停滞不前停滞不前停滞不前

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