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混合固定与传统子板结构在3级ACDF:介绍"摇摆理论"的独立子
Xin-Jin Su1, Xiu-Yuan Chen1, Jia-Feng Dai1
1Department of Spine Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Clinical neurology and neurosurgery
|August 13, 2023
概括
使用自锁独立 (SSC) 和传统板结构 (CCP) 的混合固定提供了与单独的CCP相比的临床结果,用于3级前椎切除和融合 (ACDF). 这种方法可以减少诸如阴影症和相邻段变性等并发症.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
背景情况:
- 传统的子板结构 (CCP) 是前椎切除和融合 (ACDF) 的标准,但限制了运动.
- 自锁独立 (SSC) 提供了一个具有潜在优势的替代方案.
- 在三级ACDF中混合固定 (SSC + CCP) 的有效性尚未得到充分证实.
研究的目的:
- 为了比较混合固定 (SSC + CCP) 与常规CCP在3级ACDF中的临床和放射性结果.
主要方法:
- 对83名接受3级ACDF的患者进行了回顾性研究.
- 患者被分为混合固定和CCP组.
- 分析了临床,功能和放射学的结果.
主要成果:
- 混合固定显示显著降低C2-7科布角,并降低了2年宫近接节 (CPJK) 和相邻段变性 (ASD) 的发生率.
- 在混合组中观察到手术后消化不良的发病率较低.
- 两组之间的JOA和NDI分数没有显著差异.
结论:
- 混合固定提供了与传统CPC固定在3级ACDF中相似的临床结果.
- 混合固定是一种可行的替代方案,有可能减少特定的并发症.
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