在三维中打破规则:仅胸部与结构性胸部和胸脊曲线的融合后应该期待什么
Anthony Catanzano1, Vidyadhar V Upasani2,3, Tracey P Bryan2
1Department of Orthopaedics, Duke Children's Hospital and Health Center, Durham, NC.
Journal of pediatric orthopedics
|December 8, 2023
概括
在青少年具有双重或三重主要曲线的异常学脊椎病中,仅胸部的融合改善了冠状元的对齐,但不是斜面或轴面. 临床结果在两年内仍然是积极的,尽管腰椎的放射变化有限.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 儿科整形外科 儿科整形外科
背景情况:
- 指导方针建议在脊椎病中将胸部和胸/腰部 (TH/L) 曲线融合在一起.
- 只有胸部的融合可能会保留腰部运动段.
研究的目的:
- 评估双重或三重主要结构曲线患者仅胸部融合的2年3D放射和临床结果.
主要方法:
- 分析了潜在的青少年特异性脊椎病变注册表数据.
- 从双平面放射图中使用的3D重建.
- 配对t测试和皮尔森相关性用于评估放射和临床结果.
主要成果:
- 胸部和腰部曲线显著改善.
- 改善了T5-T12阴影和胸部顶部翻译.
- 腰椎顶转换没有变化;脊椎病研究学会问卷-22得分有所改善.
结论:
- 在双/三重主要曲线中,仅胸部的融合会产生自发的腰部冠状曲线纠正,但没有显著的斜面或轴面的改善.
- 放射性发现没有对两年的主观或临床结果产生负面影响.
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