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在腰椎脊柱狭窄症中,在经过形外围注射类固醇注射后,全球斜面对齐的变化

Park Manakul¹, Koopong Siribumrungwong², Naphakkhanith Dhanachanvisith¹

¹Department of Orthopedics, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.

Journal of clinical medicine

|July 29, 2023

概括

变形外围注射类固醇 (TFESI) 改善腰椎脊柱狭窄症患者的疼痛和残疾. 它还积极影响脊柱斜腰对齐,减少向前倾斜和改善整体姿势.

科学领域:

整形外科整形外科整形外科
疼痛管理疼痛管理
放射学放射学是一门学科.

背景情况:

功能性适应疼痛影响脊柱对齐.
腰椎脊柱狭窄症 (LSS) 通常会导致疼痛和改变斜腰平衡.
外围注射类固醇注射是LSS的常见治疗方法.

研究的目的:

在LSS患者中,评估经过变形膜外皮类固醇注射 (TFESI) 后全球角对齐的短期变化.
评估TFESI对疼痛和残疾等临床结果的影响.
为了将放射性参数的变化与临床改善相关联.

主要方法:

对接受TFESI的99名LSS患者的回顾性分析.
使用视觉模拟尺度 (VAS) 和奥斯韦斯特里残疾指数 (ODI) 的临床结果评估.
在注射前和注射后两周进行的全脊椎横向放射图,以测量斜腰的参数 (SVA,C2C7 Cobb,TK,LL,PI,PT,SS,PI-LL).

主要成果:

在TFESI两周后,VAS和ODI分数的显著改善被观察到.
放射分析显示,腰垂直轴 (SVA),骨盆倾斜 (PT) 和腰骨不匹配 (PI-LL) 的显著下降.
在C2C7科布,胸部 (TK),神圣斜坡 (SS) 和腰椎 (LL) 中发现了显著的增加.

结论:

对于LSS患者来说,TFESI可在短期内显著改善疼痛和残疾.
TFESI 有效地改善了全球斜对齐参数,包括减少前方的干姿势.
TFESI是管理LSS的一个有价值的干预措施,解决症状和脊柱生物力学.

关键词:

全球三角平衡的平衡.腰椎脊柱狭窄症腰椎脊柱狭窄症转移性外围注射类固醇的注射.

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