基线方面关节病是否会影响宫椎间盘置换后的早期临床和放射性结果?
Fatima N Anwar1, James W Nie, Vincent P Federico
1Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison St. Suite #300, Chicago , Illinois , 60612, USA.
Neurosurgery
|June 11, 2024
概括
经过宫椎间盘置换 (CDR) 的中度面关节病患者经历了更好的心理健康和身体功能结果. 尽管存在一些放射学差异,但这些患者的短期临床结果与轻度关节病患者相比并没有较差.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
背景情况:
- 由于潜在的不稳定性和有限的疼痛缓解,严重的面部关节炎通常是宫椎间盘置换 (CDR) 的禁忌.
- 这项研究调查了面部关节病对CDR后结果的影响.
研究的目的:
- 评估不同程度的面部关节病对宫椎间盘置换 (CDR) 后放射和早期临床结果的影响.
主要方法:
- 一个前性数据库被用来创建一个/两个级别的CDR患者的两个队列:轻度 (级别0-1) 和中度 (级别2-3) 面部关节病.
- 对部残疾,疼痛,精神/身体健康和功能的患者报告结果 (PRO) 在手术前和最终随访 (平均8.5个月) 收集.
- 放射测量包括分段位和运动范围 (ROM);面积等级被确定为操作水平.
主要成果:
- 中度关节病患者在6周和最后的随访中报告了更高的精神和身体健康得分.
- 尽管中度组的术前圆盘高度较短,但这两个队伍在PROs.中表现出类似的改善.
- 中度关节病与下段ROM术后相关,但放射性变化在组之间没有显著差异.
结论:
- 在CDR患者中,中度的面部关节病与更好的心理健康,身体功能和减少抑郁负担有关,对短期临床结果没有负面影响.
- 在中度关节病症患者中观察到较低的细分ROM,但这并不影响整体临床结果.
- 需要进一步的研究,以充分理解CDR患者的面部关节病症和临床/放射性结果之间的关系.
相关概念视频
01:29Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
01:27Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
01:23Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...