在多段融合中影响腰部神经关节病的危险因素的分析:基于CT的CT研究
Young-Il Ko1,2, Myung-Sup Ko1,2, Chungwon Bang1,2
1Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
概括
伪关节炎,或失败的融合,在L5-S1融合后很常见,特别是在男性和那些先前融合的人中. 仔细的S1螺丝放置至关重要,以防止失联.
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
- 脊柱融合的结果
背景情况:
- 长层次的脊柱融合往往包括 lumbosacral 结 (L5-S1).
- 在L5-S1段的伪关节炎 (非结合) 可以导致不良的临床结果和修复手术.
- 确定L5-S1伪关节炎的危险因素对于手术规划至关重要.
研究的目的:
- 为了评估影响L5-S1跨体融合中的伪关节炎的因素,在长层融合中.
- 为了确定在腰部神经结节的非结合的预测因素.
主要方法:
- 对88名接受L5-S1体间融合的患者进行了回顾性分析,随访时间超过2年.
- 计算机断层扫描 (CT) 用于在术后2年评估融合状态.
- 进行单变量和多变量分析以确定伪关节炎的预测因子.
主要成果:
- 在88名患者中,有18名患者 (20.5%) 在L5-S1水平上发生了伪关节炎.
- 男性性别 (OR=3.665) 和其他脊柱段的先前融合 (OR=3.099) 是非结合的显著预测因素.
- 在非工会组中,S1螺丝松动的频率明显高 (p=0.002).
结论:
- 脊椎神经体间融合具有显著的非结合率,特别是在男性和具有先前融合史的患者中.
- 在这些高风险患者群体中,建议对L5-S1体间融合提高警.
- 防止S1螺丝松动对于成功实现L5-S1融合和避免伪关节炎至关重要.
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