脊柱体带紧张对脊柱体生长调节的影响
Taylor J Jackson1, Craig Louer2, Ron El-Hawary3
1Division of Orthopedics & Scoliosis Rady Children's Hospital San Diego California USA.
JOR spine
|July 25, 2025
概括
在脊椎体绑定 (VBT) 期间的手术内带张力会影响儿童的脊柱生长. 绑定的侧面的较高张力导致两年内脊椎体生长较少.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
- 生物机械工程 生物机械工程
背景情况:
- 在儿科患者的脊椎体绑定 (VBT) 后,带张力和脊柱生长调节之间的关系仍未得到充分研究.
- 了解这种关系对于优化成长中的儿童的VBT结果至关重要.
研究的目的:
- 为了研究不同手术内绳索张力和脊椎体生长调节之间的相关性.
- 分析不同张力水平对VBT后脊柱生长的影响.
主要方法:
- 对使用VBT治疗的异常学脊椎病患者的多中心儿科注册表进行了回顾性分析.
- 在手术期间,按顺序数级 (0-3) 记录了带的张力.
- 在第一次勃起和2年后的术后访问时,从双平面放射图进行3D重建;用于计算脊椎高度的定制 MATLAB 代码;用于增长分析的通用线性混合模型.
主要成果:
- 分析了52名骨不成熟的患者 (平均年龄12.5岁).
- 更大的手术内带张力与带侧脊椎体高度变化减少相关.
- 观察到显著的差异增长,最大张力显示最小的增长 (0.8毫米对 0.2毫米没有张力,p=0.02).
结论:
- 在VBT期间的手术内脊椎间张力显著影响脊椎体在2年内的生长.
- 较高的绳索张力导致脊椎生长减弱和脊柱生长调节增加.
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