青少年异常脊椎病对怀孕的影响
Karolina A Serhan1, Vivek M Abraham, Eric D Shirley
1Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia.
The Journal of bone and joint surgery. American volume
|April 2, 2025
概括
怀孕可能会导致青少年异常学脊椎病患者的腰部疼痛,L3.3以下融化. 然而,脊柱融合通常可以防止曲线的进展,并允许进行神经轴麻醉,尽管放置可能具有挑战性.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 麻醉学 麻醉学
背景情况:
- 怀孕引起的生理变化会影响脊柱生物力学.
- 青少年异常学脊椎病 (AIS) 是一种需要手术干预的脊柱形.
- 脊柱融合是AIS的常见治疗方法.
研究的目的:
- 为了评估怀孕患者的腰部疼痛的风险与AIS治疗脊柱融合.
- 为了评估AIS患者的孕期曲线进展在AIS患者的融合后.
- 为了确定神经轴麻醉在AIS患者之前脊髓融合的可行性.
主要方法:
- 对经过脊髓融合的AIS孕妇患者的回顾性分析.
- 评估腰部疼痛的发生率和严重程度.
- 使用放射学监测脊柱曲线的进展.
- 评估神经轴麻醉安置成功率和挑战.
主要成果:
- 在L3或以下与最低仪器脊椎融合的患者报告说,怀孕期间腰部疼痛增加.
- 在妊娠后融合期间观察到脊柱曲线进展的低风险.
- 神经轴麻醉是可能的,但往往需要更多的专业知识和试图成功的外周道安置.
结论:
- 在L3以下融合的AIS患者在怀孕期间面临更高的腰部疼痛风险.
- 脊髓融合有效地稳定了AIS曲线,最大限度地降低了怀孕期间的进展风险.
- 神经轴麻醉在AIS融合后的患者中是可行的,但需要熟练的提供者.
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