在近接椎脊柱性骨髓变性中对脊柱肌肉形态
Ryosuke Hirota1, Hiroyuki Takashima2, Makoto Emori1
1Orthopaedic Surgery, Sapporo Medical University, Sapporo, JPN.
Cureus
|August 12, 2024
概括
椎脊髓肌肉的脂肪退化,特别是形肌,与近接椎脊柱性肌缩 (PCSA) 的肌肉强度相关. 这一发现可能有助于预测手术结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 神经学 神经学
- 肌肉骨成像技术 肌肉骨成像技术
背景情况:
- 靠近宫脊髓性肌缩 (PCSA) 影响上肢肌肉,当保守治疗失败时,通常需要手术.
- 影响PCSA手术结果的术前因素尚不清楚.
- 宫脊髓肌肉的脂肪退化可能预测术后的神经改善.
研究的目的:
- 评估PCSA患者椎脊髓肌肉的缩和脂肪退化率.
- 为了将手术前的肌肉形态与功能障碍和手术结果相关联.
主要方法:
- 对从18名接受PCSA手术 (laminoplasty和foraminotomy) 的患者前性收集数据的回顾性分析.
- 在手术前对脊椎肌的横截面积和脂肪退化的量化.
- 肌肉形态与手术前和手术后神经功能 (手动肌肉测试) 的相关性.
主要成果:
- 在18名患者中,12名患者在手术后表现出神经学上的改善.
- 在C4/5和C5/6水平上观察到显著的梯形脂肪退化.
- 在C4/5和C5/6的梯形脂肪退化与手术前和手术后的肌肉力量有显著的相关性.
结论:
- 部肌肉脂肪透与PCSA的手术前和术后肌肉强度相关.
- 在C4/5和C5/6处增加的梯形脂肪透可能表明术后肌肉力量恢复不佳.
- 肌肉形态学为PCSA临床表现和外科预后提供了洞察力.
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