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用三维打印来代替单级椎椎病的人造圆盘:一个队列研究
Xiao-Bo Zhang1, Zilin Gao1, Xin Yao1
1Department of Spine Surgery, Honghui Hospital, Xi'an Jiaotong University, No. 555 Youyi East Road, Nanyoumen, Xi'an, Shaanxi, 710054, China.
International orthopaedics
|October 10, 2024
概括
3D打印的人工磁盘为椎病提供了临床上有效的替代前椎切除和融合 (ACDF) 的替代方案. 这种创新方法证明了可比的临床结果,改善了运动范围和减少了相邻细分疾病.
科学领域:
- 整形外科 整形外科 整形外科
- 生物材料是一种生物材料.
- 脊柱外科手术 脊柱外科手术
背景情况:
- 椎脊椎病是一种影响椎脊柱的退行性疾病.
- 前椎切除和融合 (ACDF) 是一种常见的手术治疗方法.
- ACDF的局限性包括潜在的相邻段疾病和运动范围的减少.
研究的目的:
- 为了比较3D打印的人工磁盘与ACDF治疗单级椎椎病的临床疗效.
- 评估患者的结果,包括临床症状和放射性影响.
主要方法:
- 对73名患有单级椎脊髓炎的患者进行了回顾性分析.
- 患者被分为ACDF (38) 和3D打印人工磁盘 (CADR) (35) 组.
- 使用VAS,JOA和NDI分数评估的临床结果. 使用ROM测试评估的放射性结果.
主要成果:
- 无论是ACDF还是CADR组,临床症状均显著改善,疗效相似.
- 与ACDF组相比,CADR组表现出明显更好的术后运动范围 (ROM) (P=0.003).
- 患有CADR组的相邻细分病 (ASD) 发病率较低 (P=0.032) 和手术内流血较少.
结论:
- 3D打印的人工磁盘在临床上有效治疗单级椎椎病.
- 这种方法比ACDF提供了优势,包括更好地维护宫ROM,降低ASD风险.
- 3D打印的磁盘代表了宫脊椎病治疗的有希望的替代方案.
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