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脊椎体绑定用于异常学脊椎病变:一个系统的审查和元分析

Megan J Roser^1,2, Geoffrey N Askin^3,4, Robert D Labrom^3,4

¹Orthopaedics Department, Queensland Children's Hospital, South Brisbane, Australia. megan.roser@health.qld.gov.au.

Spine deformity

|July 11, 2023

概括

脊椎体绑定 (VBT) 显著减少了青少年异常学脊椎病 (AIS) 曲线,在2年内平均减少25.8°. 虽然有效,但整体并发症率为23%,断是最常见的.

科学领域:

整形外科手术整形外科手术
脊髓疾病脊髓疾病
青少年医学青少年医学

背景情况:

青少年异常学脊椎病 (AIS) 是一种复杂的脊椎形.
脊柱体绑定 (VBT) 是一种新兴的AIS纠正手术技术.
骨不成熟的患者是维生素BT的候选人,以保持脊髓生长.

研究的目的:

系统地审查和元分析VBT在减少脊柱曲线方面的有效性.
确定与青少年患者的VBT相关的并发症率.
评估VBT对AIS的长期结果.

主要方法:

在PubMed,Embase,Google Scholar和Cochrane数据库中进行全面的文献搜索.
包含具有证据水平II-IV的前性和后性研究.
使用随机效应模型进行元分析,以合成关于曲线减小和并发症的数据.

主要成果:

VBT显示了从47.8°到22.2°显著的平均科布角减少 (平均差异-25.8°,p < 0.01).
整体并发症率为23%,在21.9%的病例中发生了绳索断裂.
脊柱融合发生在7.2%的患者中,这表明VBT有可能避免融合.

结论:

在2年的随访中,VBT有效地显著减少了AIS患者的脊髓曲线.
复发率显著,需要进一步调查原因和管理.
在大多数情况下,VBT显示为一种节约运动的程序,可以防止脊髓融合.

关键词:

青少年的异常学变脊椎病变.整形医生整形医生整形医生手术手术手术系统性审查系统性审查脊椎身体绑定脊椎身体绑定

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