构建B型和C型宫和胸骨折的长度分析
Jeremy C Heard1, Mark J Lambrechts2, Yunsoo Lee1
1Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Journal of craniovertebral junction & spine
|July 3, 2024
概括
构造长度没有影响脊柱骨折的外科手术结果. 然而,结性脊柱炎/扩散性异常性骨高静止症和骨质疏松症与较差的手术结果有关.
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
- 创伤外科 手术 创伤外科
背景情况:
- B型和C型脊柱骨折的手术固定是常见的.
- 结构长度对手术结果的影响需要进一步研究.
- 伴随性疾病,如结性脊髓炎/扩散性异常性骨架强症 (AS/DISH),可能会影响结果.
研究的目的:
- 确定构造长度是否会影响B型和C型亚轴骨和胸椎骨折的手术并发症和修复率.
- 评估AS/DISH对该患者群体手术结果的影响.
主要方法:
- 追溯审查91个宫和89个胸骨折的B型和C型骨折.
- 患者按结构长度分层:短段 (≤2段) 和长段 (>2段).
- 分析的结果包括手术并发症,硬件修改和变.
主要成果:
- 构造长度没有显著影响手术并发症,修复率或宫或胸脊骨折的形变化.
- 结性脊柱炎/扩散性异常性骨架强症 (AS/DISH) 与增加的形症有关 (P=0.030).
- 骨质疏松症与手术硬件故障有显著的相关性 (P=0.006).
结论:
- 短段仪器仪表在B型和C型脊柱骨折中产生了与长段仪器仪表相似的外科结果.
- AS/DISH和骨质疏松症是脊柱骨折固定患者不良手术后果的危险因素.
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