椎间盘高度对宫椎间盘置换后结果的影响:系统性审查
Gregory S Kazarian1, Robert Cecere, Michelle A Zabat
1Department of Spine Surgery, Hospital for Special Surgery, New York City, NY.
Spine
|November 11, 2024
概括
在宫椎间盘置换 (CDR) 后的盘高度变化 (DHC) 显著影响患者的结果和宫运动范围. 保持DHC小于2毫米可能会优化CDR手术后的结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 生物机械工程 生物机械工程
- 整形外科的研究研究.
背景情况:
- 植入物大小和位置是影响宫椎间盘置换 (CDR) 结果的关键因素.
- 了解磁盘高度对CDR成功的确切影响对于优化外科手术技术至关重要.
研究的目的:
- 系统地审查和描述圆盘高度 (DH) 对宫圆盘置换 (CDR) 后的临床和放射结果的影响.
主要方法:
- 使用EMBASE和PubMed进行了系统审查,遵守PRISMA指南.
- 包括的研究评估了术后圆盘高度对患者报告的结果测量 (PROM) 和宫运动范围 (ROM) 的影响.
主要成果:
- 分析了12项研究,使用各种测量盘高度,盘高度变化 (DHC) 是最常被研究的.
- DHC在PROM和ROM中显示了统计和临床上显著的差异,与绝对圆盘高度不同.
- 低于2毫米的DHC被确定为优化结果的关键值.
结论:
- 磁盘高度变化 (DHC),特别是保持在2毫米以下,是CDR中植入物选择的关键手术内考虑因素.
- 优化手术技术和植入物大小可以增强体内移动性,从而改善ROM和PROM.
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