在患有Lenke1型青少年异常脊椎病的患者中进行胸腔形纠正
Konstantinos Soultanis1, Vasilios G Igoumenou2, Farzam Vazifehdan3
1First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, Orthopaedic Research and Education Center (OREC) Panayotis N. Soucacos, Athens, Greece.
Journal of long-term effects of medical implants
|February 2, 2024
概括
单独的脊椎脱皮可能无法完全纠正青少年异常学脊椎病 (AIS) 中的胸变形. 虽然胸变形有所改善,但脱节变形有所改善.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 儿科形纠正 儿童形纠正
背景情况:
- 青少年异常学脊椎病 (AIS) 通常涉及胸变形 (RCD).
- 关于单独脊椎脱皮治疗纠正RCD的疗效仍在争论中.
- 后脊髓融合无需造骨整形术是一种常见的AIS治疗方法.
研究的目的:
- 测试该假设,单独的脊椎脱落会在AIS中充分纠正RCD.
- 为了评估脱位技术对脊柱融合后RCD校正的影响.
主要方法:
- 对103名AIS患者进行回顾性研究,这些患者经历了后脊髓融合而没有进行造骨整形.
- 患者被分为A组 (哈林顿杆,没有脱轮) 和B组 (脚螺丝/混合,脱轮).
- 使用肋骨指数 (RI) 评估的肋骨变形在手术前后侧面放射图上.
主要成果:
- 两组都显示了显著的手术后RI纠正.
- 与B组相比,A组手术后的RI显着更高.
- 然而,RI校正的程度在脱位和非脱位组之间没有显著差异.
结论:
- 单独的脊椎脱皮可能不会在Lenke Type 1 AIS中完全纠正胸变形.
- RCD的发展可能不仅仅源于脊柱形,这表明复杂的脊柱发育.
- 需要进一步的研究来了解AIS中RCD的病因.
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