在用 Dynesys 动态稳定剂治疗的腰部退行性脊柱松症患者中,螺丝松的危险因素
Yen-Chun Huang1,2, Hsi-Hsien Lin1,2, Shih-Tien Wang3
1School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Journal of the Chinese Medical Association : JCMA
|November 4, 2024
概括
在Dynesys动态稳定 (DDS) 后的后脚螺丝松动 (PSL) 与老年,吸烟,运动量增加和骨密度降低有关. 识别这些危险因素可以改善退行性脊髓缩症的手术规划.
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
- 生物机械工程 生物机械工程
背景情况:
- 迪尼西斯动态稳定 (DDS) 是一种对退行性脊髓缩的治疗方法.
- 手术后的脚螺丝松动 (PSL) 可能导致不良结果.
- 识别PSL风险因素对于明智的外科决定至关重要.
研究的目的:
- 评估在接受选择性DDS的患者中PSL的发病率.
- 为了确定与DDS后的PSL相关的风险因素.
主要方法:
- 对94名患有L4-L5级I退行性脊髓缩症的患者进行了回顾性分析,这些患者接受了DDS治疗.
- 螺丝松动定义为光环或双光环标志在平面放射学上.
主要成果:
- 螺丝松动的总比率为每个螺丝4.8%,每位患者11.7%.
- 患PSL的危险因素包括年龄>65,吸烟,细分运动范围 (ROM) >13°,以及L1脊椎体Hounsfield单位 (HU) <110.
- 进行了五次重新操作;没有发生螺丝断裂.
结论:
- 老年,吸烟,手术前ROM增加和下L1脊柱体HU是DDS后PSL的重要危险因素.
- 这些发现可以帮助在术前决策和DDS手术的外科规划.
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