靠近结节和失败:预防的策略
Ayush Arora1, Zachary T Sharfman1, Aaron J Clark2
1Department of Orthopaedic Surgery, UCSF, 500 Parnassus Avenue, MUW 3Road Floor, San Francisco, CA 94143, USA.
Neurosurgery clinics of North America
|September 17, 2023
概括
在脊髓融合手术后,近端结节 (PJK) 和近端结节衰竭 (PJF) 是常见的. 本文重点介绍了预防这些严重并发症的手术策略,改善患者的治疗结果,降低医疗保健成本.
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
- 生物医学工程 生物医学工程
背景情况:
- 靠近结节 (PJK) 和靠近结节衰竭/骨折 (PJF) 是成年脊柱形手术的常见并发症.
- 这些并发症导致显著的患者发病率,需要昂贵的修复手术,并影响整体医疗保健的可持续性.
研究的目的:
- 提供PJK和PJF的全面概述.
- 详细介绍专门旨在防止PJK和PJF在长段后部仪器融合后发生的手术策略.
主要方法:
- 对PJK和PJF的当前文献的综述.
- 分析相关的手术技术和生物力学原则,以防止近端结点并发症.
- 基于证据的预防性手术策略的介绍.
主要成果:
- 详细描述PJK和PJF的病理生理学和危险因素.
- 确定可以减轻这些并发症风险的特定外科修改和技术.
- 强调量身定制的外科手术方法的重要性,以尽量减少PJF发病率.
结论:
- 预防PJK和PJF对于成功的长段脊髓融合结果至关重要.
- 实施特定的外科手术策略可以显著降低近端结点并发症的发生率.
- 积极的手术规划和执行对于长期的患者健康和医疗保健系统效率至关重要.
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