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在带有和没有融合的后宫膜切除术后的宫囊

Thorsten Jentzsch^1,2, Oliver T Wetzel³, Armaan K Malhotra⁴

¹Department of Orthopedics, University Spine Center Zurich, Balgrist University Hospital, University of Zurich, Zurich, Switzerland. thorsten.jentzsch@balgrist.ch.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|June 2, 2024

概括

没有融合的子宫膜切除术会在五年内轻微,临床上无意义的失去了氏病. 这种方法可能适用于某些患者,特别是那些接受较短的手术的患者.

科学领域:

脊柱外科手术脊柱外科手术
整形外科手术整形外科手术
神经外科神经外科

背景情况:

宫后部仪器仪表和融合是常见的,以防止后拉美切除术的光症.
有或没有融合的宫膜切除术的比较研究有限.

研究的目的:

为了比较子宫膜切除术的结果与与没有融合的退行性子宫髓病变.
评估对宫主病和临床结果的影响.

主要方法:

这是一项回顾性,双中心的队列研究,对137名患者进行了追溯性研究 (91名有融合,46名没有).
59个月的随访,评估C2-7Cobb角度,部残疾指数 (NDI) 和修改的日本骨科协会 (mJOA) 尺度.
对混因素进行调整后的物流回归分析.

主要成果:

没有融合的拉米切除术显示了C2-7科布角 (-6°与-1°) 的较大下降.
经过调整后的分析证实,单独进行细叶切除术时,主病的降低更大 (-12°).
没有发现术后NDI,mJOA或修订率的显著调整差异.

结论:

没有融合的后宫膜切除术会导致宫主症的轻微中期丧失 (大约. 6°) 的情况.
在精心挑选的患者中,这种损失似乎与NDI和mJOA在临床上无关,特别是在较短的膜切除术 (<3级) 中.

关键词:

这是一种拉米内克托米 (laminectomy).骨髓病变是一种神经病变.脊髓疾病脊髓疾病脊髓融合是指脊髓的融合.脊柱脊柱脊柱脊柱脊柱脊柱

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