间接减压的效果通过非外形体融合对退行性腰部疾病的间接减压的影响
Josef Vcelak1, Adam Kral1, Andrea Speldova1
1The Orthopaedic Clinic of the 1st Medical Faculty, Charles University, Prague, The University Hospital Bulovka, Budínova 2, 180 81 Prague 8, Czech Republic.
Indian journal of orthopaedics
|November 27, 2023
概括
额外的腰椎间体融合 (ELIF) 有效地治疗退行性腰部疾病. 这种间接的减压方法改善了患者的治疗结果和脊髓管道大小,而修复手术的必要性最小.
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
- 神经外科 神经外科
背景情况:
- 带有细分不稳定的退行性腰部疾病对脊柱减压提出了挑战.
- 间接减压技术旨在最大限度地降低与神经结构的直接手术操纵相关的风险.
研究的目的:
- 为了评估额外形腰部身体间融合 (ELIF) 作为间接减压方法的有效性.
- 评估ELIF的风险和好处,包括不充分解压的可能性.
主要方法:
- 82名患有退行性腰部疾病和不稳定的患者接受了ELIF,并进行了跨脚架固定和周围融合.
- 评估了临床结果 (ODI,VAS疼痛) 和放射性参数 (CSA,圆盘高度,主症).
主要成果:
- 在奥斯威斯特残疾指数 (ODI) 和视觉模拟尺度 (VAS) 中,对于背部和腿部疼痛,观察到显著的改善.
- 脊柱通道的平均横截面积 (CSA) 增加了64%,中位延伸比率为33%.
- 椎间盘高度,细分角度和腰部病明显改善,只有3.7%需要修复手术.
结论:
- 额外外的体融合 (ELIF) 通过间接解压成功解决了脊柱狭窄症.
- 在ELIF中,通过肌肉的有限方法为退行性腰部疾病提供了可行的手术选择.
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