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用SpineJack系统治疗脊柱骨折的结果

Dariusz Sowa¹, Grzegorz Guzik², Michał Bronisz¹

¹Department of Orthopaedics and Traumatology, District Hospital in Stalowa Wola, Poland / Oddział Urozowo Ortopedyczny Szpital Powiatowy w Stalowej Woli, Polska.

Ortopedia, traumatologia, rehabilitacja

|December 11, 2023

概括

在脊椎骨折中,SpineJack植入物有效地恢复脊椎形状和功能,显著减少疼痛并改善生活质量. 虽然可能会出现诸如水泥泄漏等并发症,但对于稳定骨折的患者,结果通常是积极的.

科学领域:

整形外科手术整形外科手术
脊髓医学脊髓医学
生物材料工程生物材料工程

背景情况:

脊柱杰克植入物为稳定的脊椎骨折提供了最少的侵入性解决方案,旨在恢复脊椎体高度并加速功能恢复.
虽然对于稳定的骨折有效,但不稳定的骨折可能需要额外的后部固定,而SpineJack在创伤性脊柱狭窄时是禁忌的.

研究的目的:

评估 SpineJack 植入物治疗在脊椎骨折患者中的手术和功能结果.

主要方法:

39名患有创伤或病理骨折的患者 (平均年龄为41-54岁,71%为男性) 在2020-2021年期间接受了治疗.
放射图评估了脊椎和水泥泄漏;功能状态 (ODI),生活质量 (EQ-VAS) 和疼痛 (VAS) 在手术前和后 (3个月) 测量.

主要成果:

观察到显著的改善:VAS疼痛从6.9降至2.4,ODI从74.4降至14.8,EQ-VAS从56.4降至72.4.4.
脊椎的平均角度从15.8度减少到8.8度,在4名患者中,平均纠正损失为2.2度.
最常见的并发症是无症状的水泥泄漏到磁盘 (4名患者) 和脊髓运河 (2名患者).

结论:

在稳定的骨折中,SpineJack植入物成功地恢复了脊椎形状,并减少了角.
使用SpineJack治疗可以显著改善生活质量 (EQ-VAS),减少疼痛 (VAS) 和功能状态 (ODI).
观察到的并发症,包括端板骨折和水泥泄漏,大多是无症状的.

关键词:

骨折骨折骨折骨折在这是一次Kyphoplasty手术.人们的生活质量.脊柱脊柱脊柱脊柱脊柱手术手术手术手术手术手术手术脊椎造形术是指进行脊椎造形术.

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