小说迷你开放的变形腰间体融合
Kelv Shen1, Yuhang Ma2, Zhendong Huang1
1Department of Orthopedics, The Second Affiliated Hospital of Soochow University.
Journal of visualized experiments : JoVE
|June 23, 2025
概括
迷你开放型跨膜腰部体间融合 (MO-TLIF) 为退行性腰部疾病提供了一种可行的手术选择. 这种修改后的技术以最小的肌肉损伤和改善患者的结果证明了有效性.
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
- 最少侵入性手术的方法
背景情况:
- 跨腰间体融合 (TLIF) 是脊柱病理的一个常见程序.
- 外科医生不断寻求少入侵的TLIF技术,包括开放式,最小入侵和内镜方法.
研究的目的:
- 描述使用穿皮脚螺丝 (迷你开放型TLIF或MO-TLIF) 修改的开放型TLIF.
- 评估MO-TLIF程序的可行性和初步结果.
主要方法:
- 自2021年1月以来,MO-TLIF手术已在300多名患者身上进行.
- 收集的数据包括经过CT扫描的手术时间,血液损失,门诊时间,血红素值,并发症,VAS,ODI,副脊髓肌肉横截面积和融合率.
主要成果:
- 平均操作时间为102.3分钟 (单级) 和130.2分钟 (多级).
- 平均失血量为62.5毫升 (单级) 和108.3毫升 (多级).
- 观察到VAS和ODI得分的显著改善 (p < 0.001),几乎没有脊椎肌缩 (2.5%有症状,1.2%无症状).
结论:
- MO-TLIF是一种有效和可行的技术,用于治疗腰部退行性疾病,特别是多层次疾病.
- 该程序与最小的肌肉损伤和缩短的操作时间有关.
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