评估,预防和管理近端结节和失败
Han Jo Kim1, Alexander Upfill-Brown, Takashi Hirase
1From the Department of Orthopedics, Hospital for Special Surgery, New York, NY (Kim and Hirase), and the Department of Orthopaedic Surgery, University of California, Los Angeles, CA (Upfill-Brown).
概括
在成年人脊柱形手术后,近端结点形 (PJK) 和失败 (PJF) 是常见的. 本次审查涵盖了评估,风险因素和预防策略,强调需要对可靠方法进行更多研究.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 生物医学工程 生物医学工程
背景情况:
- 靠近结节 (PJK) 是成年脊柱形手术后的常见并发症.
- PJK可以发展为近端结节衰竭 (PJF),导致疼痛,发病率和神经问题,往往需要修复手术.
研究的目的:
- 审查PJK和PJF的评估和管理.
- 讨论预防PJK和PJF的风险因素和各种策略.
主要方法:
- 对PJK和PJF现有文献的审查.
- 对分类系统,风险因素和预防技术的分析.
- 讨论当前和未来的管理方法.
主要成果:
- 确定了PJK/PJF的可修改和不可修改的风险因素.
- 详细介绍了各种建议的预防策略,包括骨健康优化,水泥增强,对齐,仪器仪表和外科手术技术.
- 强调需要进一步研究,以确定预防策略的可靠性和可重复性.
结论:
- 了解PJK和PJF已经取得了进展,但仍在开发预防策略的强有力的证据.
- 正在探索多方面的方法来减轻PJK和PJF风险.
- 进一步的研究对于验证脊柱形手术中的预防措施至关重要.
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