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在宫巴格拉C盘关节整形术后异型骨化发生率和危险因素

Kai-Chen Chung¹, Chih-Wei Huang¹, Wen-Hsien Chen^2,3,4

¹1Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.

Journal of neurosurgery. Spine

|March 22, 2024

概括

宫椎间盘关节整形术 (CDA) 后的异型骨化 (HO) 与剩余的末端板覆盖和前部暴露的末端板 (AREE) 有关. 优化植入物大小和鼓励部运动可能有助于预防HO的发展.

科学领域:

脊柱外科手术脊柱外科手术
骨科生物力学骨科生物力学
再生医学是一种再生医学.

背景情况:

宫椎间盘关节整形术 (CDA) 是对退行性宫椎间盘疾病的一种手术选择.
异型骨化 (HO) 是脊髓手术后的潜在并发症,包括CDA.
了解HO的发病率和风险因素对于改善患者的治疗结果至关重要.

研究的目的:

通过使用Baguera C. 植入物来确定1级或2级CDA后HO的发病率和易感因素.
为了研究CDA后与HO相关的生物力学效应.
确定减少HO形成和进展的策略.

主要方法:

对107名用巴格拉C植入物进行1级或2级CDA的患者的回顾性分析.
评估普通放射和宫CT扫描的HO存在和严重程度 (麦卡菲分类).
评估包括端板覆盖面,前部残留暴露端板 (AREE) 和功能脊柱单元 (FSU) 角度等因素.

主要成果:

在43.9%的患者中发生HO (63/171级),主要是1级.
对于HO的重要风险因素包括剩余的终端板覆盖面和劣质的AREE.
更多的AREE和形术后FSU曲角度与更高的HO等级相关.
在手术后1个月,HO组的运动范围趋于较低.

结论:

在CDA后的HO发病率与剩余的末端板覆盖率和较低的AREE相关.
曲时的AREE和术后的kyphotic FSU角度与HO等级进展有关.
适当的植入物大小和鼓励部运动可能会减轻HO的发展和进展.

关键词:

巴格雷拉C盘是什么意思宫椎盘关节整形术终端板的覆盖范围终端板覆盖范围功能性脊柱单位的角度不同类型的骨化异型化.剩余暴露的末端板的残留物

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