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由于未能延长对磁控生长棒 (MCGR) 的共识

Lucas Hauth¹, Benjamin D Roye², Selina Poon³

¹Department of Orthopaedics, The Children's Hospital of Philadelphia, 3500 Civic Center Blvd., Philadelphia, PA, 19104, USA.

Spine deformity

|December 2, 2023

概括

在定义磁控生长棒 (MCGR) 延长故障为小于1毫米方面达成了共识. 对于MCGR失败的最佳实践包括重新尝试延长和重新定位患者.

科学领域:

脊柱外科手术脊柱外科手术
儿科整形外科儿科整形外科
生物医学工程生物医学工程

背景情况:

磁控生长棒 (MCGRs) 是一种创新的治疗早期结节症 (EOS) 的方法.
MCGRs为传统的种植仪器提供了替代方案,需要一次手术,然后进行非侵入性门诊延长.
不能延长是需要修复手术的重大并发症,但在其定义或管理方面尚无共识.

研究的目的:

建立关于定义MCGR延长故障的共识.
在MCGR延长故障后定义必要的步骤.
为了确定影响MCGR失败后决策的因素.

主要方法:

一种德尔菲方法,涉及3项调查,分发给49名早期脊椎形外科医生.
37名外科医生 (75%) 回答了第一个调查,后续调查的响应率为100%.
共识被定义为受访者之间至少70%的同意.

主要成果:

达成共识,将MCGR故障定义为实现不到1毫米的延长 (97%).
对失败的已商定的步骤包括在办公室内重新尝试延长 (78%) 和重新定位患者 (100%).
非操作性MCGR被定义为未能延长超过3次连续访问 (100%),根据骨年龄,曲线进展和度做出决定.

结论:

通过使用Delphi方法,为MCGR延长失败制定了最佳临床实践指南.
定义的延长失败 (<1毫米),适当的反应 (重新尝试,重新定位) 和非功能性 (连续3次失败).
这种共识旨在在EOS中标准化MCGR延长失败的研究和临床管理.

关键词:

最佳实践指南,最佳实践指南早期发病的脊柱状形.磁性控制的生长棒的成长棒.杆故障杆故障

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