脊柱仪器救援与水泥增强的扩展后续行动
F Polinelli1, M Pileggi2, I Cabrilo1
1From the Department of Neurosurgery (F.P., I.C., A. Cardina), Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano, Switzerland.
AJNR. American journal of neuroradiology
|June 24, 2024
概括
透皮水泥增强有效地避免或推迟脊柱仪器失效的修复手术. 这种救援手术为需要脊柱修复的脆弱患者提供长期益处.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形技术 整形技术
- 最少侵入性手术的方法
背景情况:
- 脊柱仪器的故障 (例如,螺丝松动,硬件断裂,子沉降,骨折) 带来了挑战,特别是在脆弱的患者中.
- 穿皮式水泥增强已经成为这些并发症的潜在救援程序.
- 以前的研究表明,这种技术的短期效果是有利的.
研究的目的:
- 评估皮肤增强在避免或推迟修复手术的长期有效性.
- 在水泥增强救援程序后评估脊柱植入物的放射性稳定性.
主要方法:
- 来自接受水泥增强治疗的患者原始队列的临床和放射学数据的回顾性审查.
- 评估需要修复脊柱手术作为主要结果的需要.
- 作为次要结果,对增强脊柱植入物的放射性稳定性的评估.
主要成果:
- 对27/29名患者进行了延长的放射性随访 (平均为50.9个月).
- 66.7% (18/27) 的患者在增加水泥后避免了修复手术.
- 在需要修订的患者中,增加后的平均间隔为22.5个月. 并发症包括植入物动员 (7.4%),杆断裂 (3.7%),新的骨折 (14.8%) 和螺丝松动 (18.5%).
结论:
- 穿皮式水泥增强是一种有效的长期救援程序.
- 在绝大多数患者中,该技术成功地避免或推迟了修复手术.
- 水泥增强为损害的脊柱仪器提供了持久的稳定性.
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