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S2AI和上螺丝突出和症状突出的移除:系统性审查

Rafael Garcia¹, Kari Odland², Paul Lender²

¹Department of Orthopedic Surgery, University of Minnesota, Minneapolis, USA. garca147@umn.edu.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|February 7, 2025

概括

S2-alar-iliac (S2AI) 螺丝显示出明显较低的症状突出和去除率,而不是在成人脊柱形 (ASD) 的骨盆固定中 iliac 螺丝. 这支持S2AI螺丝作为减少硬件并发症的优越选择.

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
生物医学工程生物医学工程

背景情况:

在成年脊柱形 (ASD) 等复杂的脊柱手术中,骨盆固定至关重要.
在S2-alar-iliac (S2AI) 和阴螺丝之间做出选择会影响手术结果和并发症率.

研究的目的:

系统地审查和比较S2AI和阴茎螺丝之间的症状螺丝突出和移除率.
为了指导手术决策,为 lumbosacral 稳定.

主要方法:

按照PRISMA指南进行系统审查和元分析.
包括18项研究,其中包括1462名接受骨固定治疗的成年患者.
使用相对风险差异对螺丝突出和移除率的统计分析.

主要成果:

与阴道螺丝相比,S2AI螺丝的症状突出程度明显较低 (1.9%与6.3%相比).
由于突出位置而导致的螺丝拆除率为S2AI螺丝的0%,而上螺丝的27.5%.
对于突出和删除结果都观察到较低的异质性.

结论:

在 sacropelvic 固定中,S2AI 螺丝对上螺丝具有显著的优势.
使用S2AI螺丝的并发症率较低表明ASD患者的临床和经济效益有所改善.
建议采用S2AI螺丝,以提高固定效率和患者的治疗结果.

关键词:

脊柱手术的成本效益在脊柱手术中的成本效益.成年人的脊柱形硬件移除硬件移除伊利亚克螺丝螺丝.在S2-alar-iliac螺丝上骨骨盆固定的固定方式螺丝突出位置的突出位置脊柱仪器仪表的并发症脊柱仪表的并发症脊椎骨盆固定是指脊椎骨盆固定.

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