脊椎末板腔与子子在后腰椎间体融合
Tarek Elfiky1, Yaser El Mansy1, Martin N Stienen2
1Spine Unit, Department of Orthopedic, Elhadra University Hospital, Amprozo, Alexandria, Egypt.
概括
脊椎末板腔 (VECs) 可能发生在后腰间体融合 (PLIF) 与子后. 这些空洞可能与聚变并发症有关,强调需要仔细评估.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科的植入物.
- 放射学 放射学是一门学科.
背景情况:
- 脊椎末板腔 (VECs) 是与 (Ti) 关联的已知并发症.
- 之前的研究表明,这些腔可能会导致不利的X光学变化,并可能导致非结合.
研究的目的:
- 使用Ti子,确定后腰椎体融合 (PLIF) 后VECs的患病率.
- 评估VEC对脊柱融合结果的影响.
主要方法:
- 计算机断层扫描 (CT) 扫描被用来分析VEC和合状态在患者接受PLIF与Ti子.
- 两个观察员评估了VEC特征 (大小,多重性,位置,硬化症) 和融合.
- 这项研究包括了42名52次手术水平的42名患者.
主要成果:
- 在17.3%到23.1%的水平中观察到VEC,其中大多数是小的 (<5mm).
- 观察者之间融合成功率有所不同 (76.9%92.3%).
- 在VECs的存在和非工会地位之间发现了显著的相关性.
结论:
- 在Ti子PLIF之后存在VEC,并且可能与非工会有关.
- 对融合状态和VEC形态的评估显示,评价者之间的可靠性中等.
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