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在硬的创伤后胸脊柱位症中晚期发作的脊髓功能障碍:神经性妥协的放射分析

Jiaqi Zhang^1,2,3, Yinhao Liu^1,2,3, Yan Zeng^1,4

¹Department of Orthopedics, Peking University Third Hospital, Beijing, China.

Orthopaedic surgery

|May 23, 2025

概括

刚性胸腔腹瘤以上的相邻细分退化 (ASD) 可以导致晚期发作的神经缺陷. 补偿机制,如胸部主症,可能有助于发展ASD和脊柱狭窄.

科学领域:

脊柱外科手术脊柱外科手术
神经学神经学
整形外科整形外科整形外科

背景情况:

晚期的神经缺陷是形变形的严重并发症,通常归因于髓压缩.
在位上方的近端相邻段变性 (ASD) 是脊髓功能障碍的一个不太了解的原因.

研究的目的:

报告患有神经系统缺陷的刚性创伤后胸腔腹瘤手术结果.
为了确定晚期发作的脊髓功能障碍的原因及其与脊髓皮层对齐的关系.

主要方法:

对39名患有硬性创伤后胸腔关节炎的患者进行了回顾性队列研究,这些患者正在接受手术纠正.
神经功能障碍原因的分类,根据近位ASD分组,并使用ASIA,VAS和JOA-29分数进行评估.
两组之间的放射性参数 (X射线,MRI) 的比较.

主要成果:

神经学缺陷源于阴影本身 (59.0%),阴影以上的胸腔狭窄 (25.6%),或两者 (15.4%).
靠近的ASD发生在下胸脊椎 (T10/11最常见).
临近ASD患者的邻近胸部位 (ATK) 较少,手术前ASIA等级较差,JOA-29分数较低.

结论:

位于阴影症以上的近端ASD可以导致晚期发作的神经系统恶化.
胸下脊柱的补偿性主症可能与退行性脊柱狭窄症有关.
主要补偿机制在近端自闭症发展过程中显得至关重要.

关键词:

邻近的段落退化的退化.创伤后伤口形 (posttraumatic kyphosis) 是一种疾病.脊髓功能障碍脊髓功能障碍脊皮皮层对齐的调整胸腔椎脊柱胸腔椎脊柱

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