宫椎间盘关节形成术的临床和放射性结果在患者的模态变化
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Yifei Deng1, Xiaqing Sheng1, Beiyu Wang1
1Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Orthopaedic surgery
|May 22, 2024
概括
椎脊柱的模态变化 (MC) 与椎盘置换 (CDR) 后的异型骨化 (HO) 有关. 手术前的MC是HO发展的重要风险因素,影响患者选择CDR.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
背景情况:
- 模态变化 (MC) 是脊椎骨异常,通常研究在腰椎.
- 在椎脊柱的MC,特别是在椎盘置换 (CDR) 之后,人们对其了解较少.
- 异型骨化 (HO) 是脊髓手术后的潜在并发症.
研究的目的:
- 为了调查椎盘置换 (CDR) 后椎脊柱的Modic变化 (MC).
- 为了确定与CDR后MC相关的临床和放射性参数.
- 确定MC与CDR后异型骨化 (HO) 的发展之间的关系.
主要方法:
- 从2008年至2019年接受CDR的139名患者的回顾性审查.
- 使用JOA,NDI和VAS分数评估的临床结果.
- 放射性评估包括宫对齐,运动范围,FSU高度和HO;使用了后勤和Cox回归分析.
主要成果:
- 在35.3%的患者中存在MC,其中2型是最常见的.
- 在MC和非MC组之间,临床结果或C2-7运动范围没有显著差异.
- 在MC组中,HO (83.7%) 和高级HO (30.6%) 的发病率高于非MC组 (53.3%和2.2%). MC和参与水平是HO的重要风险因素.
结论:
- 模态变化显著影响宫椎间盘置换后异型骨化发生率.
- 手术前的Modik变化是HO后CDR发展的显著风险因素.
- 在选择患者进行宫椎盘置换时,建议仔细考虑Modic的变化.
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