磁性控制的杆骨折与杆径有关,但低于TGR
Matthew Weintraub1, Omar Taha1, Ritt Givens1
1Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Spine deformity
|March 20, 2025
概括
在早期脊柱体脊髓缩 (EOS) 手术中,传统生长棒 (TGR) 的杆骨折风险高于磁控生长棒 (MCGR). 较小直径的棒 (<5mm) 在MCGR中显示骨折风险增加,但TGR没有.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
- 生物医学工程 生物医学工程
背景情况:
- 早期发病的脊柱脊 (EOS) 需要增长友好的外科手术技术来保持脊柱的生长.
- 通常使用生长棒,但棒骨折是已知的并发症.
- 对不同生长棒系统之间的骨折风险进行比较对于患者安全至关重要.
研究的目的:
- 为了量化EOS患者的杆骨折风险.
- 为了比较磁控生长棒 (MCGR) 和传统生长棒 (TGR) 之间的骨折风险.
- 评估杆子直径对骨折风险的影响.
主要方法:
- 对EOS患者的多国注册 (儿科脊柱研究小组) 的分析.
- 在MCGR和TGR组之间的骨折率的比较.
- 基于杆径 (≤5毫米与>5毫米) 的子组分析.
- 记录级生存分析以考虑随访持续时间.
主要成果:
- 总共分析了1588名患者和3176个棒.
- 整体2年棒骨折风险为3.05%. 这是3.05%.
- 与MCGR (1.82%) 相比,TGR表现出较高的两年骨折风险 (4.96%).
- 在MCGR结构中,直径≤5mm的杆具有更高的断裂率.
结论:
- 在EOS中,杆骨折的风险可能比以前报告的要高.
- 与TGR相比,MCGR显示了较低的杆骨折风险.
- 较小的杆径增加了MCGR中的骨折风险,但不是TGR.
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