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与皮肤脊椎增大相关的神经缺陷的发生率和危险因素

Xianyang Zhu¹, Zhaorui Wang¹, Jian Bian¹

¹Department of Orthopedics, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Taizhou, Jiangsu, China.

Global spine journal

|April 10, 2025

概括

皮肤脊椎增强 (PVA) 对于脊椎骨折是有效的,但携带0.32%的神经缺陷的风险,特别是在患有瘤骨折的患者. 仔细考虑风险对于患者安全至关重要.

科学领域:

整形外科整形外科整形外科
神经外科神经外科
放射学放射学是一门学科.

背景情况:

穿皮脊椎增强 (PVA) 是治疗脊椎骨折的一种微创手术.
了解PVA后神经缺陷的发生率和风险因素对于患者的安全至关重要.

研究的目的:

为了确定PVA手术后神经缺陷的发生率.
确定与这些神经复杂症相关的危险因素.

主要方法:

从2017年至2022年期间接受PVA的1847名患者的临床数据的回顾性分析.
收集的参数包括年龄,性别,骨折原因,手术方法和方法.
对聚甲基甲酸盐 (PMMA) 泄漏和神经系统并发症的评估术后X射线.

主要成果:

神经缺陷的总发病率为0.32% (在1847名患者中6名).
神经学缺陷主要与PMMA泄漏或穿孔失败有关.
与骨质疏松性骨折相比,新发性骨折显示神经复杂症的发生率更高.

结论:

PVA是骨质疏松和瘤脊椎骨折的有效治疗方法.
在PVA后存在神经缺陷的低但显著风险,瘤骨折的风险更高.
风险分层和谨慎的技术很重要,以尽量减少并发症.

关键词:

瘤性脊椎骨折是指脊椎骨折的发生.神经学的缺陷神经学的缺陷骨质疏松性脊椎压缩骨折骨质疏松性脊椎压缩骨折通过皮肤进行的脊椎增强.

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