基底印象:临床特征,操作策略和结果的系统审查和元分析
Umaru Barrie1, Jonathan Tao1, Faraaz Azam1
1Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
World neurosurgery
|May 10, 2024
概括
基础印记 (BI) 手术的结果各不相同. 后期的方法可能会增加并发症的风险,特别是在类风湿性关节炎. 根据病理和外科医生的经验量身定制治疗是椎节疾病的关键.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 基底印记 (BI) 是一种罕见的椎节异常,导致严重的神经缺陷.
- 它导致潜在的危及生命的髓脑干压缩.
研究的目的:
- 分析手术方法的基础印记 (BI).
- 评估与BI不同外科手术技术相关的结果.
主要方法:
- 对PubMed,谷歌学者和Web of Science数据库进行系统审查.
- 来自65篇文章的87名患者的分析,遵循PRISMA指南.
主要成果:
- 后部椎合,前部解压和组合方法是常见的.
- 以前的方法在老年患者中使用,症状持续时间较长.
- 风湿性关节炎和后部方法与更高的并发症率有关.
结论:
- 基础印记的手术治疗应该是个性化的.
- 考虑到外科医生的专业知识和特定的病理学对于最佳结果至关重要.
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