临近结节形预防策略侧重于对齐
Mariah Balmaceno-Criss1, Daniel Alsoof1, Renaud Lafage2
1Department of Orthopedics, Brown University Warren Alpert Medical School, Providence, RI, USA.
International journal of spine surgery
|June 26, 2023
概括
靠近结节 (PJK) 是成年脊柱形手术后的一种并发症. 了解患者,手术和对齐因素是预防PJK及其相关疼痛和神经缺陷的关键.
科学领域:
- 整形外科手术 整形外科手术
- 脊髓疾病 脊髓疾病
- 放射性分析 放射性分析
背景情况:
- 成年脊柱形 (ASD) 涉及到复杂的脊柱错位.
- 靠近结节 (PJK) 是ASD手术的常见并发症,发生在10%-48%的患者中.
- PJK可以导致严重的疼痛和神经系统缺陷.
研究的目的:
- 在ASD手术后审查与PJK相关的风险因素.
- 探索针对PJK预防的聚焦对齐策略.
主要方法:
- PJK的X射线定义:在顶部仪器脊椎和靠近上端板的两个脊椎之间>10°Cobb角.
- 风险因素的分类:患者特异性,手术性和整体一致性.
- 对PJK风险因素和预防现有文献的审查.
主要成果:
- 患PJK的危险因素是多因素的,涉及患者特征,手术技术和整体脊柱对齐.
- 这些因素之间的相互作用对PJK发育至关重要.
- 在PJK预防方面,以调整为重点的策略显示出前景.
结论:
- PJK是ASD手术的重要并发症,具有多种风险因素.
- 对患者,手术和调整因素的全面了解对于有效的PJK预防至关重要.
- 对以调整为重点的预防策略进行进一步的研究是有必要的,以改善患者的治疗结果.
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