在脊椎体绑定案例中,绳索在哪里断开? 在断后的修复病例中的临床见解
Mahmoud Alkharsawi1, Alice Baroncini2, Dong-Gune Chang3
1Department of Spine Surgery, Eifelklinik St Brigida, St. Brigida Eifelklinik, Kammerbruchst. 8, 52152, Simmerath, Germany. M.alkharsawi@gmail.com.
Spine deformity
|January 27, 2025
概括
在脊椎体绑定 (VBT) 中,带最常在椎间盘附近断裂,特别是在最低的仪器脊椎. 这项研究分析了8名接受修复手术的患者的32个绳索断裂.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 骨科生物力学 骨科生物力学
- 脊椎病治疗方法 脊椎病治疗方法
背景情况:
- 脊柱体绑定 (VBT) 是一种用于纠正脊柱形的手术技术.
- 绳索断裂是一种潜在的并发症,可能会影响治疗结果.
- 了解断裂模式对于改善VBT植入物设计和手术技术至关重要.
研究的目的:
- 在脊椎体绑定 (VBT) 程序中调查绑定故障的特定位置.
- 分析与脊椎曲线和植入物接口相关的断裂模式.
- 在双VBT结构中,比较前后之间的断裂率.
主要方法:
- 对八名接受VBT前置修订的患者进行了回顾性分析.
- 在手术期间评估和照片文件的VBT植入物.
- 索带断裂地点的识别和分类,包括螺丝索带接口和绳索断裂.
- 在双系统的情况下,前部和后部带之间的断裂率的比较.
主要成果:
- 在八名患者的60个绳索中发现了32个绳索断裂.
- 大多数断裂 (27/32) 发生在椎间盘附近,较少发生在螺丝部位 (5/32).
- 在顶部 (50%),最低仪器脊椎 (100%) 和最高仪器脊椎 (63%) 发现了断裂.
- 在双绳系统中,前部和后部绳索之间没有发现破裂率的显著差异.
结论:
- 在VBT中,绳索故障主要发生在椎间盘水平.
- 最低的仪器脊椎是断的常见地点.
- 研究结果表明,植入物设计修改的潜在领域是为了提高VBT的耐用性.
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