在脊柱融合手术后,青少年对硬的感知
Sarah E Lindsay1, Austin Thompson1, Jenny Hummel1
1Orthopaedics and Rehabilitation Department, Oregon Health & Science University, Portland, OR, USA.
Journal of patient experience
|October 10, 2024
概括
接受后脊椎仪器融合 (PSIF) 的青少年经常感觉到脊柱硬,影响曲和扭曲等日常活动. 更远端的融合水平与自我照顾和家务难度增加有关.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 青少年变形纠正 青少年变形纠正
背景情况:
- 后脊椎仪器融合 (PSIF) 是青少年脊椎形的常见手术.
- PSIF程序本身就会导致脊柱运动段的灵活性丧失.
- 脊柱硬的主观经验及其对PSIF后青少年患者日常生活的影响仍未得到充分研究.
研究的目的:
- 为了探索在PSIF之后的青少年中感知到的脊柱度.
- 为了确定由脊髓融合引起的特定功能限制和日常任务改变.
- 为了将患者报告的结果与手术因素相关联,例如最后的仪器脊椎 (LIV) 和已确定的生活质量得分.
主要方法:
- 定性焦点小组与接受过PSIF的青少年 (11-21岁) 进行了研究.
- 从焦点小组讨论中确定了关于感知脊柱度和功能影响的常见主题.
- 根据焦点小组的主题开发了一个由36个问题组成的调查,并给患者进行.
- 调查答案与LIV水平和Scoliosis Research Society-22 (SRS-22) 的得分进行了分析.
主要成果:
- 焦点小组揭示了向前曲 (56%),坐着时腰 (44%) 和扭动动作 (56%) 的关键难点.
- 患有更远端LIV的患者报告说,自我护理/美容 (P=.014) 和家务 (P<.001) 的困难明显增加.
- SRS-22功能/活动得分与自我护理/美容 (r=.61;P=.049) 和娱乐 (r=.69;P=.019) 调查类别有很强的相关性.
结论:
- 脊柱硬是PSIF后青少年经常感知到的限制.
- 这种感知到的性显著改变了执行日常任务和参与活动的能力.
- 融合程度 (LIV) 和患者报告的结果 (SRS-22) 是了解PSIF后功能缺陷的重要因素.
相关概念视频
01:16Vertebral Column: Regions and Curvature
3.5K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
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...
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...
3.5K
01:22Sutures of the Skull
6.4K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
6.4K
01:09Changes in the Appendicular Skeleton with Age
1.8K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
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...
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...
1.8K