环球背心固定有效地通过宫脊椎不稳定症患者的手术内重新定位来维持宫水平
Takafumi Arita1, Osamu Kawano1, Hiroaki Sakai1
1Department of Orthopaedic Surgery, Japan Labor Health and Welfare Organization Spinal Injuries Center, 550-4 Igisu, Iizuka, Fukuoka, 820-0053, Japan.
Heliyon
|March 28, 2024
概括
环球背心有效地稳定了宫脊柱在不稳定患者的手术内重新定位期间的对齐. 这种外部固定方法可以安全地进行手术,同时保持对齐并预防神经复杂症.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 脊柱生物力学 脊柱生物力学
背景情况:
- 椎脊柱的不稳定性在手术重新定位过程中存在风险.
- 环球背心用于外部固定,用于管理宫不稳定.
研究的目的:
- 评估光环背心固定在在手术内重新定位期间保持椎脊柱对齐的有效性.
- 为了确定光环背心是否为接受宫不稳定性手术的患者提供足够的稳定性.
主要方法:
- 14名宫脊椎不稳定症患者被固定在光环背心中,从仰卧到倾斜的位置重新定位.
- 术前 (坐着) 和术后 (倾斜) 的放射图与使用各种宫对齐措施进行了比较.
- 测量包括O-C2角度,C2-C6角度,喉入口角度 (PIA),牙间隔 (ADI) 和Redlund-Johnell (R-J) 值.
主要成果:
- 没有观察到O-C2角度,C2-C6角度,PIA,ADI或O-C2长度/O-C6长度比率的显著变化.
- 在倾斜的位置上,R-J值和O-C6长度显著增加.
- 没有出现食障碍或神经系统恶化等并发症.
结论:
- 环球背心提供了足够的椎脊柱稳定,以便在手术期间将其重新定位到俯卧位置.
- 这种外部固定方法对椎脊柱不稳定性的患者非常有效,确保了安全的手术并保持了对齐.
- 环状背心有助于安全重新定位,同时防止神经衰退.
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