在前脊椎体绑定失败后,后脊椎融合的结果
Amer F Samdani1, Stephen M Plachta2, Joshua M Pahys2
1Shriners Children's-Philadelphia, 3551 N Broad St, Philadelphia, PA, 19140, USA. amersamdani@gmail.com.
Spine deformity
|December 23, 2023
概括
在前脊椎绑定后后背脊融合的修订在技术上具有挑战性,但安全. 结果与初级融合相似,尽管手术时间增加和血液损失增加.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱形纠正 脊柱形纠正
- 青少年异常学变脊椎病症 青少年异常学变脊椎病
背景情况:
- 青少年异常学脊椎病 (AIS) 是一种复杂的脊椎形.
- 前脊椎绑定 (AVBT) 是AIS的一种手术选择.
- 一些接受AVBT的患者可能需要随后的后脊髓融合 (PSF) 由于绳索失效.
研究的目的:
- 为了评估后脊髓融合 (PSF) 的临床和放射性结果,在青少年异常学脊椎病 (AIS) 的患者中,这些患者以前经历过前脊椎绑定 (AVBT),随后需要修复手术.
- 将这些结果与接受初级PSF而没有先前AVBT的患者的结果进行比较.
主要方法:
- 对490名接受AVBT的患者进行了回顾性分析.
- 确定了20名需要转换为PSF的患者 (4.1%).
- 匹配了接受初级PSF的患者的对照组.
- 使用配对t测试和费舍尔精确测试进行手术结果的比较.
主要成果:
- 在AVBT转换组中,估计的血液损失,手术时间和光镜使用量显著增加.
- 两组之间在植入物密度,输血或手术内神经监测事件方面没有发现显著差异.
- 两组从手术前到最新的随访期间都实现了类似的胸部和腰部曲线纠正.
结论:
- 在AVBT后转换为PSF是AIS患者的可行选择.
- 虽然在技术上要求更高,但这种修复手术可以安全地进行.
- 转换为PSF后的临床和放射性结果与初级PSF相似.
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