在患有不稳定脊柱骨折的患者中,体外切除术的功能和外科结果
Dariusz Sowa1, Grzegorz Guzik2, Michał Bronisz1
1Oddział Urazowo Ortopedyczny Szpital Powiatowy w Stalowej Woli, Polska / Department of Orthopaedics and Traumatology, District Hospital in Stalowa Wola. Poland.
Ortopedia, traumatologia, rehabilitacja
|June 22, 2023
概括
前腔切除术和假肢重建有效治疗脊柱骨折,显著减少疼痛并改善患者的功能. 虽然并发症很罕见,但可能会发生植入物迁移和相邻的脊椎骨折.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 在瘤学瘤学.
背景情况:
- 之前的手术方法对于管理不稳定的脊柱骨折至关重要.
- 它们能够精确地减压和重建脊椎体.
- 这项研究评估了前腔切除术和假肢重建的结果.
研究的目的:
- 评估前肢切除和假肢重建前肢切除和假肢重建前肢切除方法的功能和手术结果.
- 为了评估corpectomy在治疗创伤和病理脊柱骨折的有效性.
主要方法:
- 54名接受单级体外切除术 (2020-2021) 的患者的回顾性分析.
- 评估神经状态 (弗兰克尔),表现 (卡诺夫斯基) 和疼痛 (VAS).
- 脊椎参数的放射评估和并发症分析.
主要成果:
- 显著减少疼痛 (VAS中位数7到4) 和提高表现 (卡诺夫斯基中位数50到70).
- 14名患者中有11名的神经状况改善;5名患者恢复了行走能力.
- 并发症包括植入物迁移 (4名患者) 和邻近的脊椎骨折 (3名患者).
结论:
- 随着假肢置换的肉体切除,有效地恢复了脊椎形状,脊椎曲率和神经减压.
- 该程序带来了良好的结果,显著减少疼痛和提高性能.
- 并发症不常见,最常见的是植入物迁移和相邻骨折.
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