圣关节:功能,病理,治疗,以及对脊椎和部手术结果的贡献
Isabel Horton1,2, Jennifer McDonald3, Jeroen Verhaegen4,5
1Division of Orthopedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
The Journal of bone and joint surgery. American volume
|December 23, 2024
概括
关节 (SIJ) 功能障碍会导致严重的腰痛,需要进行彻底的体检和成像诊断. 管理策略从保守治疗到手术的进展,腰部融合带来SIJ退化的风险.
科学领域:
- 整形外科 整形外科 整形外科
- 疼痛管理 疼痛管理
- 放射学 放射学是一门学科.
背景情况:
- 腰部疼痛是导致残疾的主要原因,神经关节 (SIJ) 功能障碍涉及10-38%的病例.
- SIJ功能障碍在下背部,部和部后部地区表现为显著的疼痛发生器.
研究的目的:
- 概述神经关节功能障碍的诊断方法.
- 审查SIJ相关疼痛的管理选择.
- 检查脊椎和部手术对SIJ健康的影响.
主要方法:
- 对SIJ和相邻关节 (部,腰椎) 进行全面的体检.
- 使用优化的放射性调查 (X射线图,CT,MRI) 进行SIJ可视化.
- 诊断性关节内麻醉注射用于疼痛局部化.
主要成果:
- 身体检查和先进的成像帮助诊断SIJ病理.
- 建议在SIJ疼痛管理中采用逐步,最少侵入性至最具侵入性的方法.
- 腰部融合手术加速SIJ和部退行;部手术对SIJ没有风险.
结论:
- 早期和准确的SIJ功能障碍诊断对于有效的腰部疼痛管理至关重要.
- 保守的治疗和向注射是首选的初始管理策略.
- 手术干预,特别是腰部融合,需要仔细考虑,因为可能对邻近关节产生不良影响.
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