在椎结合手术后的功能和放射性结果
Tushar N Rathod1, Sachin Mohana Khemkar1, Tapas Mohanty1
1Department of Orthopaedics, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.
Surgical neurology international
|December 6, 2023
概括
脊节 (CVJ) 异常的手术治疗有效地解决了大西洋轴心不稳定性和带压缩,从而改善了患者的治疗结果. 精心规划至关重要,以尽量减少手术并发症.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 脊节 (CVJ) 病理,包括大西洋轴心不稳定性,可以导致严重的神经缺陷,如骨髓病和呼吸衰竭.
- 这些异常需要全面了解手术指示,手术前规划和潜在的并发症.
研究的目的:
- 描述与手术治疗心血管异常相关的指示,手术前规划和手术内/手术后并发症.
- 评估进行心血管病理手术的患者的临床和放射性结果.
主要方法:
- 2015年至2022年间对34名心血管病理患者进行了前性分析.
- 病因包括atlantoaxial不稳定性,创伤,结核病和各种综合征.
- 通过ASIA损伤量表和mJOA评分评估临床结果;放射性参数包括ADI,CCA和SAC.
主要成果:
- 29名患者接受了手术,包括椎和C1-2融合.
- 手术干预显著改善了大西洋轴不稳定性 (平均ADI从6.6到4.2毫米) 和缓解了带压缩 (平均SAC从8.3到17.2毫米).
- 在ASIA和mJOA分数中观察到统计学上显著的改善,以及CCA的有利变化.
结论:
- 进行心血管神经元异常的手术治疗需要专业的专业知识和精心的计划.
- 谨慎的手术执行至关重要,以防止严重的并发症,如伤口脱落和脊椎动脉损伤.
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