在脊椎退行性病理学中,斜视平衡与机械距离结合失败之间的相关性:回顾性分析
Sara Montanari1, Cristiana Griffoni2, Luca Cristofolini1
1Department of Industrial Engineering, School of Engineering and Architecture, Alma Mater Studiorum - Università di Bologna, Bologna, Italy.
Global spine journal
|August 10, 2023
概括
腰部后部固定失败,通常是由于螺丝拉开或杆断裂,与特定的脊椎皮层参数有关. 恢复盆腔倾斜,盆腔发病率-腰椎位症和干部PAs对于40岁以上患者的成功结果至关重要.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 骨科生物机械学 骨科生物机械学
- 放射性分析 放射性分析
背景情况:
- 后腰部固定是一种常见的外科手术程序.
- 尾巴固定失败可能需要修复手术.
- 脊柱皮层参数在脊柱稳定性中起作用.
研究的目的:
- 为了调查尾部腰部后部固定器的故障.
- 为了分析手术前和手术后的脊皮皮膜参数在失败的固定.
- 为了确定与固定失败相关的人口和临床因素.
主要方法:
- 对后部固定的回顾性队列研究 (2017-2019).
- 分析了457名患者,其中101人处于结点 (失败) 组,356人处于对照组.
- 使用Surgimap软件测量脊椎皮层参数 (SVA,PT,LL,PI-LL,TPA).
主要成果:
- 最常见的故障是螺丝拉出 (57) 和杆断裂 (53).
- 在失败和没有失败的组之间SVA,PT,LL,PI-LL和TPA的显著差异 (P < .021).
- 对于PT,SS,LL,TK,PI-LL,TPA (P<.005) 显著的组和术前/术后条件之间的相互作用.
结论:
- 机械故障更有可能发生在40岁以上接受胸椎固定治疗的患者中.
- PT,PI-LL和TPA的不适当恢复与固定失败有关.
- 年龄,性别和BMI并不是导致失败的重要因素.
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