成年脊柱合性疾病的过程和预测因素:10年前景病例系列
Heidi Mannström1, Juhani Multanen2,3, Jari Ylinen4
1Jyväskylä Educational Consortium Gradia, University of Jyväskylä, Jyväskylä, Finland.
Spine
|October 25, 2024
概括
成年脊柱形 (ASD) 通常会在10年内恶化,特别是在功能不良和严重的骨盆倾斜的患者中. 了解这些因素是定制预防治疗的关键.
科学领域:
- 整形外科和脊椎外科手术
- 生物医学工程 生物医学工程
- 老年医学 老年医学
背景情况:
- 成年脊柱形 (ASD) 涵盖了成年人的多种胸脊椎异常.
- 放射性恶化涉及下降的腰部主病,增加的骨盆倾斜,以及改变的斜垂直轴.
- 射手不对齐明显影响患者的功能和生活质量.
研究的目的:
- 为了研究成年脊柱形 (ASD) 的10年自然进展.
- 确定与ASD患者的姿势不对齐相关的决定因素.
- 分析脊骨皮层对齐和功能结果的变化.
主要方法:
- 204名患有自闭症的成年参与者的未来病例系列 (平均年龄为62.7岁).
- 全脊椎放射测量了长达10年的SRS-Schwab斜腰修饰器 (PI-LL,PT,SVA).
- 脊椎病研究会22r (SRS-22r) 问卷评估了功能状态.
主要成果:
- 平均SRS-Schwab得分在10年内显著恶化 (1.1至1.5,P<0.001).
- 在37%的参与者中,脊柱形恶化,在50%的参与者中保持稳定,在13%的参与者中改善.
- 较差的SRS-22r功能评分和严重的骨盆倾斜 (PT>30°) 预测了斜腰对齐的恶化.
结论:
- 在成年脊柱形的10年自然过程中存在显著的变化.
- 糟糕的自我评估功能和异常的骨盆倾斜是恶化脊骨骨对齐的危险因素.
- 定制的预防策略对于管理ASD至关重要,考虑到个体风险因素.
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