骨髓病是由于退行性亚特兰大轴突突变引起的骨髓病
Yongqiang Wang1,2, Chao Wang3,4,5, Ming Yan6
1Department of Orthopedics, Peking University Third Hospital, NO. 49 North Garden Road, Haidian District, Beijing, China.
概括
退行性大西洋轴突突变 (DAAS) 涉及由于关节退化的前面和垂直突变. 建议在DAAS患者中进行解剖缩小以获得最佳结果.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱疾病 脊柱疾病
背景情况:
- 退行性大西洋轴突突变 (DAAS) 是一种脊柱状况.
- 它呈现出独特的前部和垂直亚脱位特征.
- 了解其临床特征对于有效管理至关重要.
研究的目的:
- 概述DAAS的临床表现.
- 描述DAAS使用的治疗策略.
- 评估DAAS手术干预的结果.
主要方法:
- 在2003年至2020年期间接受治疗的40名DAAS患者的回顾性评估.
- 通过日本骨科协会 (JOA) 的尺度来评估神经状态.
- 通过Ranawat等测量的垂直迁移. 的距离 (DOR).
主要成果:
- 所有40名患者都出现了骨髓病变和放射性症状,包括C1垂直迁移,硬化和狭窄的亚太轴关节.
- 后部缩小和融合是主要使用的外科手术技术.
- 手术后的JOA分数 (9.3~14.8) 和DOR (14.5~17.8毫米) 显著改善,并具有较高的融合和减少率.
结论:
- DAAS与其他大西洋轴突突变不同,其特点是导致前部和垂直突变的退行性变化.
- 解剖缩小被确定为DAAS的最佳手术策略.
- 手术干预导致显著的神经和放射学改善.
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