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单级SPECT/CT阳性腰椎退行性磁盘疾病的脊柱融合:SPINUS I研究

Radek Kaiser¹, Michal Varga², Otto Lang³

¹Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice 1200, 16902, Prague, Czech Republic. rkaiser@hotmail.cz.

Acta neurochirurgica

|June 22, 2023

概括

在诊断慢性腰部疼痛 (CLBP) 中,SPECT/CT成像有助于诊断脊柱疼痛发生器. 对SPECT/CT阳性退行性磁盘疾病 (DDD) 的后体内融合显著改善了疼痛和功能.

科学领域:

脊柱外科手术脊柱外科手术
诊断成像诊断成像的使用
疼痛管理疼痛管理

背景情况:

在非特异性慢性下背痛 (CLBP) 中识别疼痛源是当前方法的挑战.
SPECT/CT成像显示在确定脊柱疼痛发生器方面具有前景.
腰椎退行性磁盘疾病 (DDD) 是CLBP的一个常见原因.

研究的目的:

为了评估后部身体间融合对单级SPECT/CT阳性腰部DDD的有效性.
评估融合手术后的临床结果和患者满意度.

主要方法:

对38名患有CLBP的患者进行前性研究,这些患者接受了SPECT/CT阳性DDD的单级融合.
主要结局:视觉模拟尺度 (VAS) 和奥斯韦斯特里残疾指数 (ODI).
二次结果:并发症,重返工作,满意度和重新手术的意愿.

主要成果:

在2年的随访中,VAS (8.4至3.2) 和ODI (51.5至20.7) 显著减少 (p < 0.001).
84.2%的患者实现了临床上重要的最小差异; 71%的患者满意; 89.4%的患者会重复手术.
82.9%的人回到了工作中,并发症率很低 (4个并发症,2次修订).

结论:

对SPECT/CT阳性腰部DDD的后体间融合产生了显著的临床改善和高患者满意度.
SPECT/CT成像是评估CLBP患者的宝贵工具,特别是那些没有确的MRI发现的患者.

关键词:

轴心疼痛轴心疼痛是指轴心的疼痛.退行性椎间盘疾病是一种退行性椎间盘疾病.腰部疼痛腰部疼痛腰部疼痛斯佩克特 (Spectre) 是一个运动场.脊髓融合是指脊髓的融合.

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