在成人脊椎形中,S2AI与上螺丝在脊椎部固定中:一个倾向性得分匹配的分析
Alejandro Gómez-Rice1,2, Susana Núñez-Pereira3,4, Sleiman Haddad3,4
1Hospital Universitario Ramón y Cajal, Carretera de Colmenar Viejo Km 9.100., 28034, Madrid, Spain. alexgomezrice@hotmail.com.
概括
S2-alar-iliac (S2AI) 技术和下螺丝 (IS) 技术显示了类似的脊柱形纠正. S2AI螺丝可以减少机械并发症,但会增加短期疼痛和长期松.
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
- 成年人的脊柱形
背景情况:
- 盆腔固定在长脊柱融合中对于成年脊柱形 (ASD) 至关重要.
- S2-alar-iliac (S2AI) 和 iliac screw (IS) 技术是骨盆固定的常见方法.
研究的目的:
- 在ASD患者中比较S2AI与IS技术的临床和放射性结果.
- 评估两种技术之间的重新操作率,并发症和放射性参数变化.
主要方法:
- 一个前性的,多中心的ASD数据库的回顾性审查.
- 52名S2AI患者与52名IS患者的倾向分数匹配 (PSM).
- 卡普兰-梅尔分析和Cox的无重手术生存率的比例风险模型.
主要成果:
- 在S2AI和IS之间无显著差异的放射性纠正,重新操作或感染率.
- 在IS组中,机械并发症较高;S2AI显示了改善的机械无并发症生存率 (80.6 vs. 61.2个月).
- S2AI组报告了较高的初始术后疼痛,在2年后增加了放射性光环 (59.6%vs. 34%).
结论:
- 无论是S2AI技术还是IS技术,都提供了可比的变形纠正和重新干预率.
- 与IS相比,S2AI固定与较少的机械并发症有关.
- 在手术后两年,S2AI螺丝可能会导致短期疼痛增加和放射性松.
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