纠正不足是否是远端结节囊的一个主要因素? 使用结构内测量的宫变形纠正的模拟分析
Fares Ani1, Ethan Sissman2, Dainn Woo3
11Department of Orthopedic Surgery, NYU Langone Health, New York, New York.
Journal of neurosurgery. Spine
|February 16, 2024
概括
模拟显示,部形手术患者患有远端结节形 (DJK) 往往有不足的纠正. 在构造测量可以帮助外科医生评估腰对齐,并预防手术期间的DJK.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 外科手术的结果
背景情况:
- 远端结节 (DJK) 是宫变形手术后的一种并发症.
- 评估和预防DJK对于成功的手术结果至关重要.
- 在构造中的测量提供了一种新的方法来评估融合构造中的 sagittal 对齐.
研究的目的:
- 在模拟的宫变形手术中利用构造测量.
- 评估低校正,并预测DJK的发生.
- 评估这些测量作为手术内工具的实用性.
主要方法:
- 对宫变形患者的回顾性审查.
- 使用计划软件模拟手术纠正.
- 分析C2-下部仪器脊椎 (LIV) 的斜视角 (SA),C2骨盆角 (CPA) 和骨盆倾斜 (PT).
- 线性回归以确定在构造中的测量,部斜垂直轴 (cSVA) 和DJK之间的关系.
主要成果:
- 严重和轻度的DJK分别发生在16%和32%的患者中.
- 与非DJK患者相比,DJK患者的术后对齐 (cSVA和C2-LIV SVA) 更差.
- 在构造措施 (C2-T1 SA,C2-T4 SA,C2-T10 SA),cSVA和DJK之间发现了显著的相关性 (R > 0.57,p < 0.001).
- 确定了特定的C2-T4 SA和C2-T10 SA值,对应于目标cSVA和DJK角度.
结论:
- 模拟校正表明,DJK患者往往没有足够的手术校正.
- 在构造中的测量可以独立评估融合中的角对齐.
- 这些测量作为有价值的手术内工具来衡量校正的充分性,并可能防止DJK.
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