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在手术纠正青少年特异性脊椎病的后,干外观的变化

Maryam Khani^1,2, Farida Cheriet^3,4, Lama Seoud^5,6

¹Department of Computer and Software Engineering, Polytechnique Montréal, P.O. Box 6079, Montréal, QC, H3C 3A7, Canada. maryam.khani@polymtl.ca.

Spine deformity

|March 23, 2024

概括

手术治疗脊柱形脊柱病改善了干部外观,干部侧移 (TLS) 校正率在两年内增加. 然而,背部表面旋转 (BSR) 没有显示平均改善,表明持续的肋骨.

科学领域:

整形外科手术整形外科手术
脊柱变形纠正脊柱变形纠正
青少年异常脊椎病 (AIS) 的研究.

背景情况:

青少年异常脊椎病 (AIS) 显著影响干的外观.
手术脊柱融合是严重AIS的常见治疗方法.
在手术后评估长期的干部外观对于患者的治疗结果至关重要.

研究的目的:

为了评估AIS患者手术治疗的2年术后干部外观.
为了比较手术后6个月与2年后的干部形纠正.
为了确定影响脊柱融合后干部外观结果的因素.

主要方法:

该研究包括46名患有Lenke 1A胸部曲线的AIS患者,他们经历了后脊髓融合.
表面地形,脊柱X射线 (科布角) 和倾斜计测量在手术前,在6个月和2岁时进行.
使用背面旋转 (BSR) 和后侧移 (TLS) 校正率 (CRs) 评估车身变形.

主要成果:

实现了良好的脊柱正,并减少了科布角.
2年后,76%的患者表现出改善的TLSCR,48%的患者表现出改善的BSRCR.
平均TLSCR从6个月增加到2年;BSRCR没有显示平均改善.
两年后,没有发现树干指数CRs与临床变量或手术技术之间的显著关联.
观察到TLS CR和主要胸部科布角度,以及BSR CR和胸部倾斜计角度之间存在显著的相关性.

结论:

虽然干侧移 (TLS) 在手术后的2年内显著改善,但背部表面旋转 (BSR) 在很大程度上保持不变.
肋骨形变形的持续性在背部表面被注意到,尽管脊柱纠正.
可能需要进一步的研究来优化手术技术,以在AIS中全面改善干部外观.

关键词:

两年后的随访时间为2年.青少年异常学脊椎病 (AIS) 是一种疾病.脊椎形手术的结果干变形的情况.

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