邻近的肌肉解剖保护对近接节和失败的影响
Ruchit V Patel1, Joshua I Chalif1, Alexander G Yearley1
1Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA.
在成年脊柱形手术期间保留后部解剖学可能会减少近端结节 (PJK) 和近端结节衰竭 (PJF). 这种方法在最近的一项研究中显示出有希望的结果,可能改善手术结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 变形纠正 变形纠正 变形纠正
背景情况:
- 成年脊柱形 (ASD) 的管理依赖于手术干预.
- 诸如近端结节 (PJK) 和近端结节衰竭 (PJF) 这样的并发症仍然是重大挑战.
- 探索在最上端的仪器脊椎的后部解剖学保存,以减轻PJK/PJF风险.
研究的目的:
- 为了评估PJK/PJF在ASD患者中发生的发病率,这些患者接受了经过修改的骨下解剖的脊髓融合.
- 通过元分析,将PJK/PJF发病率与其他预防干预措施进行比较.
主要方法:
- 90名ASD患者的机构队列 (2017-2022年) 经过修改的骨下剖析.
- 使用随机效应模型进行元分析,以比较PJK/PJF率.
- 对PJK/PJF发展中的放射性参数和临床相关的分析.
主要成果:
- 观察到PJK (6.7%) 和PJF (3.3%) 的低发病率.
- PJK/PJF队列显示了更大的术前盆腔发病率/倾斜率和术后不匹配.
- 文献中的预防性干预措施将PJK/PJF发病率从36%降低到19%.
结论:
- 后部解剖结构的保存似乎可以降低PJK/PJF的发生率.
- 将放射性参数与PJK/PJF联系起来对于改善ASD纠正结果至关重要.
- 对保存后部结构的技术进行进一步的研究是有必要的.
更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
相关概念视频
Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Structural Joints: Cartilaginous Joints
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
Muscles of the Anterior Neck
Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
