"邻近水平骨化发展"的危险因素除了短板至圆盘的距离和临床影响之外,对邻近细分病理的临床影响
Sang Hun Lee1, Micheal Raad1, David B Cohen1
1Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.
Neurospine
|April 11, 2025
概括
在前椎间盘切除和融合 (ACDF) 后,相邻水平骨化 (ALOD) 的发展与形和短板至圆盘距离等因素有关. 尾部ALOD增加了对相邻段病理的修复手术率.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
背景情况:
- 前椎间盘切除和融合 (ACDF) 是对退行性磁盘疾病的常见程序.
- 邻近水平骨化发展 (ALOD) 是ACDF后的潜在并发症.
- 了解导致ALOD及其临床影响的因素对于患者的治疗结果至关重要.
研究的目的:
- 为了确定与ACDF后的ALOD相关的放射和临床因素.
- 评估ALOD对相邻部分运动范围 (ROM) 和临床结果的影响.
主要方法:
- 140名接受初级ACDF的成年患者的回顾性审查.
- 具有和没有ALOD的患者的比较.
- 评估手术前和后续的放射测量 (至少24个月).
- 评估临床结果,包括相邻细分病理,修复手术和患者报告的结果.
主要成果:
- 与ALOD相关的因素包括短板至圆盘距离 (PDD),相邻段,超主体融合,以及前纵带带 (OALL) 的手术前骨化.
- 与对照组相比,ALOD与相邻部分ROM显著减少有关.
- 在患有尾部ALOD的患者中,观察到临床相邻细分病理 (CASP) 的修复手术发生率更高.
结论:
- 在ACDF之后预测ALOD的关键因素是邻近的位,超主体融合,手术前的OALL和短PDD.
- ALOD 与降低的细分ROM相关.
- 特别是尾部ALOD,与由于CASP增加了修复手术的需要有关.
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