在成年脊柱形中评估异常的近接接口角:定义近接口形的规范性数据方法
Marc Khalifé1,2,3, Renaud Lafage3, Alan H Daniels4
1Department of Orthopedic Surgery, Hôpital Européen Georges Pompidou, Paris, France.
这项研究为胸脊建立了正常的近端结角 (PJA) 值,揭示了许多成年脊柱形 (ASD) 手术患者超过了这些值,质疑当前近端结角 (PJK) 定义.
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
- 放射性评估是指进行放射性评估.
背景情况:
- 目前对近端结点形 (PJK) 的定义不考虑脊椎水平.
- 确定近端结角 (PJA) 的规范值对于准确评估成年脊柱形 (ASD) 是至关重要的.
研究的目的:
- 用无症状志愿者的规范数据来确定成年脊柱形 (ASD) 手术患者中异常近接角 (PJA) 的速率.
- 使用已确定的定义,将异常PJA的速率与近端结节 (PJK) 的速率进行比较.
主要方法:
- 一项从721名健康志愿者和824名ASD手术患者前性收集数据的多中心回顾性研究.
- 每个胸部水平 (T1-T12) 的规范PJA值在志愿者中被定义 (平均±2SD).
- 在ASD患者中异常的PJA值与规范数据和PJK定义 (Glattes',Lovecchio's) 在两年随访时进行了比较.
主要成果:
- 规范性PJA值表示T3-T12之间20°以上的正常值.
- 在自闭症患者中,22.9%的人与标准值相比表现出囊性PJA (P<0.001).
- PJK率为46.2% (Glattes') 与8.7% (Lovecchio's) 相比,突出了这些差异.
结论:
- 这项研究为胸脊提供了特定水平的PJA规范值.
- 经水平调整的PJA评估提供了更精确的评估近接脊柱对齐异常.
- 这些发现挑战了现有的PJK定义,并提倡更精细的诊断方法.
更多相关视频
07:44Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis
Published on: March 23, 2019
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
相关概念视频
Vertebral Column: Regions and Curvature
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
General Case of Eccentric Axial Loading
Consider a member subjected to equal and opposite forces that are applied along a line that does not coincide with the member's neutral axis. In unsymmetrical...
General Structure of a Vertebra
Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Overview of the Axial Skeleton
The axial skeleton of the...
Normal Strain under Axial Loading
