相关实验视频

Updated: Jul 11, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

如何确定Scheuermann形的最佳近位融合水平

Ning Yuan¹, Guangxun Hu², Keith H Bridwell³

¹Department of Spine Surgery, Beijing Jishuitan Hospital, Capital Medical University, 31 Xinjiekou East Street, Xicheng District, Beijing, 100035, China. yuan.ning@139.com.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|November 13, 2023

概括

适当的融合水平选择是防止Scheuermann细胞分裂后脊髓融合后近端结节 (PJK) 的关键. 针对T2或以上的最上端仪器脊椎 (UIV) 可以减少PJK的发生并保持校正.

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
放射学放射学是一门学科.

背景情况:

舒尔曼形需要通过仪器脊柱融合进行手术纠正.
靠近结节 (PJK) 是一种严重的并发症,导致手术后失去正.
最上端仪器脊椎 (UIV) 的最佳选择对于预防PJK至关重要.

研究的目的:

为了确定最佳的近端融合水平,用于仪器脊柱融合在患有Scheuermann囊症的患者.
为了研究UIV水平,C7领线 (C7PL) -圣器距离和PJK的发生率之间的关系.

主要方法:

追溯对86名患有谢尔曼囊症的患者进行校正仪器脊柱融合的回顾.
对手术前,手术后和长期侧面放射图进行分析,以评估放射学参数和PJK.
在患有PJK和没有PJK的患者之间比较人口统计学,放射学和手术参数.

主要成果:

在32%的患者中发生PJK,主要导致纠正损失.
患有PJK的患者在2年和最后的随访后显示出明显更差的最大Cobb角.
在没有PJK的患者中,显著更大比例的UIV在T2或以上.
PJK与C7PL-sacrum距离≥50mm显著相关.

结论:

靠近结节位 (PJK) 是施欧曼位中术后纠正损失的主要原因.
选择适当的融合水平,特别是T2或以上的UIV,可以减少PJK的发生.
这一建议对于C7PL-sacrum距离≥50毫米的患者来说尤其重要,以防止PJK.

关键词:

融合水平融合水平术后并发症术后并发症靠近的结合点形.尔曼的光症是尔曼的光症.进行手术治疗.

更多相关视频

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Published on: September 16, 2022

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

相关概念视频

Vertebral Column: Regions and Curvature

Vertebral Column: Regions and Curvature

The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...