在多个分类后对C2骨折的管理,叙述性审查
Michael McDermott1, Guisela Quinteros2, Federico Landriel3
1Duly Health and Care, 808 Rickert Dr, Naperville, IL, 60540, United States.
Brain & spine
|September 23, 2024
概括
C2骨折分类缺乏普遍接受. AO脊椎上部损伤分类系统显示,在轴骨折中改善手术决策是有前途的.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 对C2骨折的手术决策通常以分类系统为指导.
- 多个现有的分类可以使轴骨折的手术决策复杂化.
研究的目的:
- 审查和比较C2骨折的常见分类系统.
- 确定轴骨折在临床上最有用的分类.
主要方法:
- 根据PRISMA指南进行了一次系统的文献审查.
- 在PubMed的搜索中,发现了关于轴体,形过程和"手"骨折的研究.
- 纳入和排除标准适用于最初识别的530篇论文.
主要成果:
- 包括七篇关于轴体的论文,六篇关于牙骨折的论文,以及十篇关于"手"骨折的论文.
- 常见的分类包括本泽尔的,安德森和阿隆佐的,以及埃芬迪的.
- 澳大利亚奥林匹克协会的脊椎上部损伤分类系统显示出有前途的观察者间和观察者内一致性.
结论:
- 目前没有一个单一的C2骨折分类被普遍接受或广泛使用.
- AO脊柱系统集成了放射学和临床数据,显示了增强实用性的潜力.
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