对最少侵入性的后部圣关节融合进行系统审查
Benjamin Gill1, Hamzah Adel Ramawad2, Patrick Buchanan3
1Omaha Pain Physicians, Omaha, Nebraska, USA.
概括
后部和后侧斜关节合显示越来越多的证据表明,对于腰部疼痛的有效性和安全性. 需要进一步的研究来指导设备选择和长期患者的结果.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 疼痛管理 疼痛管理
背景情况:
- 圣关节功能障碍是腰部和腿部疼痛的常见原因之一.
- 传统的横向融合方法具有神经血管风险.
- 新的后部和后侧斜技术提供了替代方案.
研究的目的:
- 审查关于后/后侧斜关节合疼痛和功能结果的证据.
- 评估这些新手术方法的有效性和安全性.
主要方法:
- 从2020-2024年开始对出版物的系统审查.
- 包括12项同行评审的研究 (2项前性,10项后性).
- 评估疼痛评分的改善 (VAS/NRS) 和并发症.
主要成果:
- 在后部 (35%-75%) 和后侧斜侧 (28%-89%) 融合组中报告了显著的疼痛减轻.
- 在大多数队列中,结果在统计学上是显著的.
- 并发症是最小的和可控的.
结论:
- 后部和后侧斜关节合显示越来越多的证据证明了有效性和安全性.
- 需要进一步的随机对照试验.
- 长期患者的结果需要进一步调查.
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