在前脊椎体带断裂的发生率
Patrick J Cahill1,2, Firoz Miyanji3, Brett R Lullo4
1Children's Hospital of Philadelphia.
Journal of pediatric orthopedics
|January 22, 2024
概括
带断裂是前脊椎体带 (AVBT) 在青少年异常脊椎病症中出现的常见并发症. 到36个月,预计大约50%的患者会出现绳索断裂,这可能会影响曲线校正.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 儿科整形医生 儿科整形医生
背景情况:
- 前脊椎体绑定 (AVBT) 是一种正在发展中的手术技术,用于治疗青少年异常脊椎病.
- 绳索断裂是一种已知的并发症,但其确切发生率尚不清楚.
研究的目的:
- 为了确定青少年异常学脊椎病的胸前脊椎体绑定 (TAVBT) 患者的绳索断裂的发生率.
- 评估断和临床结果之间的关系,包括重新操作和最终曲线校正.
主要方法:
- 在10个中心对208名胸部曲线患者进行了回顾性审查,这些患者接受了TAVBT治疗.
- 2-3年的放射性随访,将绳索断裂定义为相邻螺丝角度增加>5度.
- 卡普兰-梅尔关于破裂发生率的生存分析和关于重新操作相关性的奇平方分析.
主要成果:
- 在36%的患者 (75/208) 中发生了绳索断裂.
- 断裂往往是晚发现的,其中88%发生在24个月或之后.
- 在36个月内,带断裂的累积发病率达到50%.
- 带绳断裂的患者最终的科布角 (31°与26°相比) 显著大,转换为后脊髓融合的比率更高 (12%与2%相比).
结论:
- 在AVBT治疗青少年异常学脊椎病后,绳索断裂的发生率很大.
- 外科医生应预计,在手术后3年内,绳索断裂的可能性为50%,这可能会影响长期的结果.
更多相关视频
05:30Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
790
08:30Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications
Published on: April 30, 2014
11.5K
相关概念视频
01:24Cable Subjected to a Distributed Load
687
The analysis of suspension bridges is a complex and critical process that involves multiple factors, including the shape and tension of the main cables. The main cables of suspension bridges are subjected to distributed loads, which result in changes in tensile forces and deformation of the cable. These loads must be carefully considered to ensure that the bridge is safe and capable of supporting the weight of different loads.
687
01:27Fractures: Bone Repair
3.2K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.2K