在早期发病的脊柱脊柱病中生长杆子:当前的情况
Jwalant S Mehta1,2, Martina Tognini3,4, Harry Hothi4,5
1Royal Orthoapedic Hospital, UK.
Journal of orthopaedics
|July 31, 2023
概括
基于分心的生长棒是早期发生的脊椎形症的首要手术治疗方法,尽管面临挑战,但提供了良好的结果. 目前正在进行的研究旨在改进植入系统和结果评估,以改善肺功能.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
背景情况:
- 早期发病的脊椎形 presents治疗挑战,以分心为基础的生长棒是主要的手术方法.
- 早期脊柱形脊柱病的手术策略正在不断发展,以解决曲线进展和胸部缺陷的问题.
研究的目的:
- 审查目前使用生长棒治疗早期脊柱形脊椎病的手术治疗方法.
- 分析生长棒系统的有效性,并发症和新出现的修改.
主要方法:
- 一个叙事审查现有的文学在生长的杆子选择的早期发病的脊椎病变.
- 讨论报告的结果,并发症 (例如,用磁控生长棒进行金属化 - MCGR),以及较新的植入物设计.
主要成果:
- 基于分心的生长棒在管理早期发生的脊椎病变方面表现出一致和有利的结果.
- 传统生长杆 (TGR) 与频繁的重新操作有关,而MCGR系统报告金属化问题.
- 肺功能测量比单独的科布角或胸部生长更能表明治疗成功.
结论:
- 与TGR和MCGR的经验凸显了在植入物设计和结果评估方面需要改进的领域.
- 需要进一步的研究来优化生长棒系统及其对肺部发育的影响.
- 未来的趋势集中在增强的植入物技术和改进的方法来评估治疗的有效性.
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