2个子大小的比较 在双门内镜 变形膜 腰椎 腰椎 体 融合 中
Ju-Eun Kim1, Hyunwoo Kim2, Eugene J Park2
1Department of Orthopedic Surgery, Baro Seomyeon Hospital, Busan.
Clinical spine surgery
|April 23, 2024
概括
使用更大的PEEK子在双门内透视的骨变形腰椎体间融合 (BE-TLIF) 中,导致更快的融合速率和降低沉降. 临床结果与较小的子相似,表明安全性和有效性得到改善.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 最少的侵入性技术是最小的侵入性技术.
- 整形外科的植入物.
背景情况:
- 双门内镜变膜腰部体融合 (BE-TLIF) 提供比传统方法更快的恢复.
- 身体间子沉降是BE-TLIF手术中的潜在并发症.
研究的目的:
- 为了比较BE-TLIF中不同尺寸的静态聚乙基 (PEEK) 中的融合和沉降率,以及临床结果.
- 评估BE-TLIF中较大的PEEK子的安全性和有效性.
主要方法:
- 追溯性研究比较32x10毫米 (A组) 和40x15毫米 (B组) 的静态PEEK子在69名接受1-2级BE-TLIF的患者中.
- 对疼痛视觉模拟尺度 (VAS) 的评估,奥斯威斯特残疾指数 (ODI),融合和沉降在至少12个月的随访.
- 使用普通放射和计算机断层扫描进行放射性评估.
主要成果:
- 两组之间最终融合率或患者报告的结果 (ODI,VAS) 没有显著差异.
- 组B (较大的子) 在1年内显示出更高的融合比率和明显较小的沉降率 (0%对比9.8%).
- B组的每个级别的操作时间较长,但在3个月后显示出明显更好的VAS背部改善.
结论:
- 在BE-TLIF中使用较大的PEEK是安全有效的,其临床结果与较小的相比较.
- 使用较大的子与更快的融合速度和降低沉降风险有关.
- 带有较大的子的BE-TLIF为腰椎体融合提供了一个有前途的选择.
相关概念视频
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Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
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01:22Sutures of the Skull
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01:30General Structure of a Vertebra
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01:17Structural Joints: Cartilaginous Joints
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Synchondrosis
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There are two types of cartilaginous joints:
Synchondrosis
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