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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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骨盆固定构造 在脊柱形手术中的趋势

Andrew F Ormseth1, Kari Odland1, Jason J Haselhuhn1

  • 1The Department of Orthopedic Surgery, University of Minnesota, 2512 South 7th Street, Suite R200, Minneapolis, MN 55455 USA.

Indian journal of orthopaedics
|March 28, 2024
PubMed
概括

脊椎外科医生越来越多地使用多种植入物用于成人脊椎形的骨盆固定,以减少植入物失败. 这一趋势显示了12年来S2-alar-iliac螺丝等组合技术的显著增长.

关键词:
成年人的脊柱形伊利亚克螺丝螺丝.植入物失败的原因是植入物失败.骨盆固定 骨盆固定 骨盆固定这就是S2AI.

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科学领域:

  • 整形外科手术 整形外科手术
  • 脊柱形纠正 脊柱形纠正
  • 植入物技术技术 植入物技术

背景情况:

  • 在成年脊柱形中,脊柱骨固定仍然具有挑战性,原因是剪切力,复杂的解剖学和骨质.
  • 外科医生不断寻求改进的固定技术来应对这些挑战.

研究的目的:

  • 在12年的时间里,分析成人脊椎形的骨盆固定技术的趋势.
  • 评估不同植入物结构的采用情况,包括S2-alar-iliac (S2AI) 螺丝.

主要方法:

  • 对494名接受成人脊椎形骨盆固定治疗的患者的回顾性图表审查.
  • 患者被分为三个手术队列 (2010-2013, 2014-2017, 2018-2021年).
  • 植入物种类型的分析:传统的上螺丝,堆叠的S2AI螺丝和三角形植入物.

主要成果:

  • 在研究期间,至少两种盆腔植入物的使用率从90.2%增加到99.1%.
  • 使用S2AI螺丝的使用量大幅增加了120%.
  • 在最近的队列中,多个双边植入物结构的百分比增加近十倍.

结论:

  • 有一个明确的机构趋势,即在成人脊椎形中采用多个双边植入物构造用于骨盆固定.
  • 越来越多地使用组合技术,例如带有S2AI螺丝的上螺丝或带有三角形植入物的S2AI螺丝.
  • 这些策略旨在减轻复杂的脊柱形病例中的植入物失败.