青少年异常脊柱结直症前脊椎绑定:我们最初的十年临床经验
John T Braun1, Sofia C Federico2, David M Lawlor2
1Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., Yawkey 3E, Boston, MA, 02114, USA. jbraun3@mgh.harvard.edu.
Spine deformity
|May 26, 2024
概括
前脊椎绑定 (AVT) 在大多数患者中有效治疗青少年异常学脊椎病 (AIS),保持脊柱健康. 技术的精细化减少了诸如过度校正等并发症,改善了脊椎病纠正的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 青少年医学 青少年医学
背景情况:
- 前脊椎绑定 (AVT) 是青少年异常脊椎病 (AIS) 的一种微创手术选择.
- AVT的目的是纠正脊柱脊柱病,同时保持脊柱的生长,运动和功能.
- 本研究评估了AVT应用AIS的前十年.
研究的目的:
- 评估AVT在治疗青少年异常学脊椎病的疗效和结果.
- 评估AVT的长期有效性和并发症率.
主要方法:
- 在2010年至2020年期间,74名连续AIS患者接受AVT治疗的回顾性审查.
- 对至少2年随访的患者进行分析,包括曲线类型,骨成熟度和校正率.
- 评估修复手术,带完整性和整体治疗成功情况.
主要成果:
- 在有足够的随访的52名患者中,88%的患者通过AVT获得了令人满意的治疗,实现了显著的曲线校正 (48.6°手术前到24.0°最终).
- 脊柱对齐,包括胸部形和腰部形,被维持,轴旋转显示改善.
- 8%需要修订,以防止断或过度纠正;12%需要由于不充分或过度纠正而进行融合,尽管过度纠正问题随着精细的指示而减少.
结论:
- 在各种曲线大小和类型的AIS患者中,AVT是大多数AIS患者的成功治疗方法.
- 虽然发生了诸如断或纠正问题等并发症的修复手术,但随着患者选择和技术的改进,它们减少了.
- AVT为AIS提供了融合的可行替代方案,有可能保持脊柱功能.
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