在青少年异常脊椎病的左侧胸部曲线:结果是不同的吗?
Bryan O Ren1, Anne Marie Dumaine2, Jerry Y Du3
1Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
对于青少年异常学脊椎病 (AIS),左侧与右侧胸部曲线显示了类似的手术结果和并发症率. 曲线的方向没有显著影响脊髓融合结果或患者报告的疼痛,尽管有轻微的放射学差异.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 儿科整形外科 儿科整形外科
背景情况:
- 青少年异常学脊椎病 (AIS) 是一种复杂的脊椎形.
- 胸脊形曲线可以出现在左侧或右侧.
- 了解基于曲线方向的结果的潜在差异对于手术规划很重要.
研究的目的:
- 为了比较青少年异常学脊椎病 (AIS) 患者的手术结果,左侧与右侧主要胸部曲线.
- 调查外科医生的意见和这些曲线类型的外科手术方法变化.
主要方法:
- 一个多中心数据库确定了AIS患者的左侧胸部曲线经历后脊髓融合.
- 进行了1:1的倾向匹配,使用右胸部曲线.
- 分析了手术特征和术后结果的差异.
主要成果:
- 曲线方向 (左侧与右侧胸部) 并没有影响融合水平,手术时间,住院,失血或并发症率 (死亡,伪关节炎,重新手术,感染).
- 手术后的T2-T12阴影和T1倾斜角度方向显示了一些变化.
- 在校正率,科布角,腰部曲线,T12-S1主症,肩高度差异或SRS 22得分方面没有发现显著差异.
结论:
- 在AIS中,左侧和右侧胸部曲线之间的手术特征和主要结果是可比的.
- 曲线的方向不会显著影响关键的外科指标或患者报告的结果.
- 观察到的轻微放射变异不太可能具有临床意义.
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