长期机械故障在成年脊柱形患者的良好对齐
Sleiman Haddad1, Caglar Yilgor2, Eva Jacobs3
1Spine Research Unit, Vall d'Hebron Research Institute, Barcelona, Spain; Spine Surgery Unit, Department of Orthopedic Surgery, Vall d'Hebron University Hospital, Barcelona, Spain.
The spine journal : official journal of the North American Spine Society
|September 27, 2024
概括
即使在良好的成年脊柱形 (ASD) 患者中,机械并发症 (MC) 也是常见的,由于残留的不对齐. 实现最佳的术后对齐对于减少MC和改善功能结果至关重要.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 成年人的脊柱形
背景情况:
- 机械并发症 (MC) 是成人脊柱形 (ASD) 修复手术的重要原因.
- 即使是"良好调整"的患者也面临着持续的MC风险,这表明超出全球调整范围的因素也起着作用.
研究的目的:
- 为了确定MC的发病率在良好的对齐的ASD患者.
- 为了确定与MC相关的风险因素和手术结果,在这个子组.
主要方法:
- 一个潜在的多中心ASD数据库的回顾性分析.
- 包括55岁以上的患者,随访时间≥2年,全球对齐和比例 (GAP) 评分≤2.2.
- 使用比较统计,物流回归和ROC曲线,分析机械并发症 (杆骨折,伪,结节) 的分析.
主要成果:
- 在83名精确调整的患者中,40% (平均年龄66岁) 经历了MC,其中18%需要修复手术.
- 独立的MC风险因素包括残留的冠状垂体 sacral曲线,仪器测量水平和相对的脊骨皮层对齐 (RSA).
- 在MC患者中观察到功能和放射性结果较差.
结论:
- 沙吉特"良好对齐"的ASD患者的MC率升高与残留不对齐有关.
- 无可挑的术后对齐是至关重要的,特别是考虑到诸如广泛的校正,高杆臂,体重和虚弱等因素.
关键词:
成年人的脊柱形复杂性 复杂性 复杂性这是一种退行性变性.腰部 腰部 腰部 腰部机械 机械 机械 机械多中心的多中心.骨盆 骨盆 骨盆 骨盆 骨盆 骨盆脊椎形症是什么? 脊椎形症是什么?脊柱 脊柱 脊柱 脊柱 脊柱 脊柱手术 手术 手术 术 术更多相关视频
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