在前脊椎体绑定后改变并发症趋势:十年的经验
Taemin Oh1, Cleopatra Nehme, Amer F Samdani
1Shriners Children's Philadelphia, Philadelphia, PA.
Spine
|May 30, 2025
概括
十多年来,前脊椎体绑定 (VBT) 的并发症从过度纠正转向了断的增加. 这项研究强调了儿童脊椎形中不断发展的VBT技术和结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 儿科整形医生 儿科整形医生
- 生物机械工程 生物机械工程
背景情况:
- 前脊椎体绑定 (VBT) 是一种手术技术,用于纠正骨不成熟患者的脊椎形.
- VBT与潜在的并发症有关,包括过度校正,不足校正和设备故障 (绳索断裂).
- 了解随着时间的推移并发症概况的演变对于完善VBT手术技术和改善患者治疗结果至关重要.
研究的目的:
- 在前脊椎体绑定 (VBT) 后,在10年内分析并发症概况的变化.
- 调查特定并发症的趋势,如过度纠正和绳索断裂.
- 确定影响并发症模式转变的因素.
主要方法:
- 一个单一中心的回顾性研究回顾了在2011年至2020年期间接受VBT的患者,并进行了至少两年的随访.
- 患者被分为三个治疗时期:2011-2015年,2016-2017年和2018-2020年.
- 并发症被分类 (绳索断裂,过度纠正,添加,曲线进展,各种),并在各个时代进行了放射性参数的比较.
主要成果:
- 超过50%的患者出现了放射性并发症,19%的患者需要修复手术.
- 随着时间的推移,观察到过度校正率的显著下降 (13%至2%),而绳索断裂发生率增加 (49%至59%).
- 手术时的年龄,曲线大小和骨成熟度增加,倾向于更多的腰部曲线和腰断裂.
结论:
- 对VBT的10年经验表明,并发症模式的显著演变.
- 外科学习和技术修改导致过度纠正的减少.
- 随后,绳索断裂的情况有所增加,需要进一步研究设备完整性和手术策略.
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