侧侧体间融合对邻近分段疾病:一个叙述性回顾
Christopher L Antonacci1, Francine Zeng1, Casey Jackson1
1Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.
Journal of spine surgery (Hong Kong)
|July 8, 2024
概括
侧侧体间融合 (LIF) 为腰部融合后的相邻细分病 (ASD) 提供了一种微创手术选择. 与传统方法相比,LIF表现出生物机械优势和潜在的更好的患者结果,并发症较少,修复手术的需求减少.
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
- 最少侵入性手术是最少侵入性的手术.
背景情况:
- 邻细分病 (ASD) 是腰部融合的一种并发症.
- 它涉及症状和X光学变化在化片段上方或下方.
- 侧侧体间融合 (LIF) 是ASD的一种微创手术选择.
研究的目的:
- 审查LIF对ASD的历史,用途,结果和未来方向.
- 总结目前对ASD的方法和LIF的使用.
- 评估LIF对ASD的生物力学,临床和放射性结果.
主要方法:
- 1900-2022年国家数据库 (PubMed,SCOPUS) 的文献综述.
- 关键词包括"侧面"",纵横"",身体间"",融合"",邻近"",细分"",疾病".
- 包括生物力学研究,临床过程,并发症,放射学结果和患者报告的LIF对ASD的结果.
主要成果:
- 在生物机械上,LIF在多个平面中提供了减速运动.
- 潜在的并发症包括硬件故障和腰椎结交损伤.
- 与后脊髓融合 (PSF) 相比,LIF可能会减少血液损失,缩短OR时间,并改善VAS得分.
结论:
- LIF是一种微创和有效的ASD治疗方法.
- 它提供了一个坚实的生物力学结构,具有良好的患者报告,临床和放射性结果.
- 目前的文献表明,与其他技术相比,LIF治疗ASD导致并发症减少,病率降低,后续手术需求减少.
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