侧侧前列释放在短腰部融合...这是值得的吗?
Gabriel Flores-Milan1, César Carballo Cuello1, Elliot Pressman1
1Department of Neurosurgery and Brain Repair, University of South Florida, Morsani College of Medicine, Tampa, Florida, USA.
World neurosurgery
|September 15, 2024
概括
侧侧体间融合过程中前列释放和较大的骨盆发病率-腰椎主病不匹配是相邻细分病的危险因素. 建议仔细考虑前列释放的侧向方法.
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
- 神经外科 神经外科
背景情况:
- 邻分段疾病 (ASD) 是脊髓融合后的一个常见并发症,放射性速率差异很大.
- 症状性ASD可能是令人虚弱的,通常需要修复手术并增加患者的发病率.
- 前列释放 (ACR) 在侧侧体间融合 (LLIF) 中对ASD发展的作用需要进一步研究.
研究的目的:
- 为了调查侧腰间体融合 (LLIF) 后邻近细分病 (ASD) 的发生率和危险因素.
- 具体来说,要评估前列释放 (ACR) 和脊皮参数对ASD发展的影响.
主要方法:
- 在2013年至2020年期间接受LLIF治疗的120名患者的回顾性审查,至少3年后续.
- 收集和分析手术变量和脊椎骨盆参数 (腰椎,骨盆发病率等). ) 的情况.
- 统计分析,包括单变量和多变量回归,以确定ASD的风险因素.
主要成果:
- 24名患者 (20%) 在LLIF后发展出ASD.
- 前列释放 (ACR) 和骨盆发病率-腰椎病 (PI-LL) 的不匹配都被确定为ASD的显著风险因素.
- 多变量分析证实,较大的PI-LL不匹配 (OR=1.097) 和ACR (OR=9.667) 是自主预测ASD发展的.
结论:
- 在横向体际融合 (LLIF) 过程中执行前列释放 (ACR) 显著增加了相邻细分病 (ASD) 的风险.
- 较高的盆腔发病率 - 腰椎病 (PI-LL) 不匹配也是ASD的重要预测因素.
- 在决定在LLIF期间进行ACR时,仔细考虑和选择患者至关重要,特别是当旨在纠正脊皮膜参数时.
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