手术前的部运动范围在曲中作为术后的部斜不平衡的风险因素,在拉米诺整形术后
Chengxin Liu1,2, Wei Wang1,2, Xiangyu Li1,2
1Department of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, China.
Spine
|October 6, 2023
概括
手术前的宫脊椎运动范围影响了宫层塑造术 (LMP) 后的结果. 高曲运动范围 (ROM) 是LMP后宫斜不平衡 (CSI) 的危险因素,需要仔细考虑.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 椎脊柱生物力学 椎脊柱生物力学
背景情况:
- 宫膜整形 (LMP) 旨在减压脊髓,但可以改变宫的斜腰对齐.
- 手术前的动态宫斜对齐是已知的术后结果的预测因素.
- 手术前动态调整对宫斜垂直轴 (cSVA) 在LMP后变化的具体影响尚不清楚.
研究的目的:
- 调查膜整形术 (LMP) 后与宫松失衡 (CSI) 相关的因素.
- 为了确定术后CSI和cSVA变化的潜在风险因素.
主要方法:
- 对102名接受LMP治疗的患者进行了回顾性审查.
- 对手术前和手术后的宫斜参数进行分析,包括cSVA和运动范围 (ROM).
- 多变量物流回归和ROC曲线分析,以确定CSI的风险因素.
主要成果:
- 较大的手术前部脊柱曲ROM显着与术后部斜腰平衡的恶化有关.
- 在C3开始LMP和更高的手术前曲ROM被确定为CSI的显著风险因素.
- 预测CSI的手术前曲ROM的最佳切断值为34.10°.
结论:
- 手术前的 cervical sagittal 动态对齐,特别是高曲的 ROM,在LMP后显著影响术后的 cervical sagittal 平衡.
- 在患有高手术前曲ROM的患者中,由于CSI的可能性增加,应仔细考虑宫层塑造术.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...


