腰部神经过渡脊椎对前腰部内体融合的影响
Luis Becker1,2, Tim Victor Mihalache3,4, Hendrik Schmidt4
1Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany. luis-alexander.becker@charite.de.
Scientific reports
|February 1, 2024
概括
腰部神经过渡脊椎 (LSTV) 是常见的脊柱变异. 前腰间体融合 (ALIF) 有效地恢复了LSTV患者的细分主症,解决了先前存在的减少.
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
- 放射学 放射学是一门学科.
背景情况:
- 腰部-神经过渡性脊椎 (LSTV) 是常见的先天性脊柱变异,与增加的退化有关.
- 关于LSTV如何影响前腰椎间体融合 (ALIF) 期间细分主病恢复的数据有限.
研究的目的:
- 为了研究LSTV对单片单独ALIF后细分主恢复的影响.
- 为了比较LSTV患者和匹配的对照组之间的脊柱参数.
主要方法:
- 在L5/S1或L5/L6.6处接受单段独立ALIF的58名患者的回顾性分析.
- 17名LSTV患者与41名基于年龄和性别的对照进行了匹配.
- 骨盆发病率的比较,骨盆倾斜,斜腰垂直轴,腰部主症,细分主症,盘高度和深度在手术前和后.
主要成果:
- 在手术前,LSTV患者在L4 / 5和L5 / S1 / L5 / L6处显著减少了细分位.
- 在L5/S1 (p < 0.001) 时,ALIF显著增加了细分主病 (p < 0.001).
- 在手术后,L4/5和L5/S1/L5/6的LSTV患者之前减少的细分主症与对照患者不再有显著差异.
结论:
- 在接受治疗的部分中,ALIF显著改善了细分主病,即使在患有LSTV的患者中也是如此.
- 在患有LSTV的患者中,ALIF是一种有效的干预措施,用于恢复细分主病.
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