在宫椎间盘关节整形术后的脊椎动脉损伤 - 一个系统的审查
Gonzalo F Del Rio Montesinos1, Lancelot Benn2, Christopher P Bellaire3
1Universidad Central del Caribe (UCC), Bayamón, PR, USA.
概括
在椎椎间板关节整形术 (CDA) 期间脊椎动脉损伤 (VAI) 是一种罕见但严重的风险. 解剖学变异和外科医生的经验显著影响VAI的发生,需要在CDA过程中仔细考虑.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 血管外科 血管外科
背景情况:
- 宫椎间盘关节整形术 (CDA) 是一种治疗宫椎间盘退化的手术,同时保持脊柱的运动性.
- 脊椎动脉 (VA) 在CDA期间处于危险之中,可能导致严重的并发症,如脊椎动脉损伤 (VAI).
- 本文审查了CDA期间的VAI,重点关注解剖学变异,外科医生经验和管理策略.
研究的目的:
- 分析椎椎动脉损伤 (VAI) 在椎盘关节整形术 (CDA) 期间的发生率和风险因素.
- 在CDA的背景下,审查预防,诊断和管理VAI的战略.
- 突出考虑解剖学变异和外科医生经验在减轻VAI风险方面的重要性.
主要方法:
- 从2000年6月到2025年4月,在PubMed,Science Direct和Web of Science的文献中进行了文献搜索.
- 关键词包括:宫,宫盘,脊椎动脉,脊椎动脉损伤,盘关节形成术,退行性盘.
- 对解剖学变异,外科医生经验和与CDA相关的VAI病例的分析.
主要成果:
- 在7.6%的个体中存在解剖VA变异.
- 对CDA的前方方法有0.4%的VAI率,外科医生患病率>300例 (0.06%) 与<300例 (0.33%) 相比,患病率较低.
- 虽然CDA设备报告了其他并发症,但VAI没有列出;然而,增加的CDA使用表明报告的VAI病例有所增加.
结论:
- 脊椎动脉损伤 (VAI) 是椎盘关节整形手术 (CDA) 的关键考虑因素,因为该手术的患病率越来越高.
- 解剖学变异和外科医生的经验是影响VAI风险的关键因素.
- 有效的预防和治疗管理策略对于在CDA期间解决VAI至关重要.
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