双边脊椎体绑定:确定与成功结果相关的关键因素
Daniel G Hoernschemeyer1, Patrick Elliott2, Baron S Lonner3
1Department of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
概括
双边脊椎体绑定 (VBT) 显示出治疗双重主要儿科脊柱形的前景. 一个主要的胸脊柱 (TLP) 变形和一个水平过渡脊椎的成功结果更有可能.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
- 生物机械工程 生物机械工程
背景情况:
- 双重主要的儿科脊柱形 presents独特的手术挑战.
- 双边脊椎体绑定 (VBT) 为传统的融合方法提供了替代方案.
- 优化复杂形的VBT需要了解关键的预测因素.
研究的目的:
- 确定与双重主要脊椎形 (Lenke 3或6) 进行双边VBT的儿科患者成功结局相关的术前和术后因素.
- 为了比较原发性胸部 (TP) 和原发性胸脊柱 (TLP) 变形模式之间的结果.
主要方法:
- 来自多中心研究的放射和临床数据的回顾性分析.
- 最少两年的术后随访时间.
- 根据变形模式 (TP与TLP) 评估变形平衡,过渡性脊椎倾斜和术后成功.
主要成果:
- 分析了36名患者 (19名TP,17名TLP).
- 水平过渡脊椎与成功结果有显著的关联 (83%与倾斜的62%相比).
- 与TP形 (50%) 相比,TLP形的成功率 (76%) 高于TP形的成功率 (50%).
结论:
- 双边VBT是双重主要儿科脊柱形的可行治疗方法.
- 主要胸椎 (TLP) 变形模式和水平过渡脊椎是成功VBT结果的有利指标.
相关概念视频
General Structure of a Vertebra
A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous column.
Structural Joints: Fibrous Joints
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Structural Joints: Cartilaginous Joints
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary or...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary or...
Articulations of the Vertebral Column
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...


