脊椎身体绑定后的运动保存:对103名患者的分析
Christina Regan1,2, Hans K Nugraha1, Todd A Milbrandt1
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.
Journal of pediatric orthopedics
|August 20, 2025
概括
脊柱体绑定 (VBT) 显著减少了冠状动作,但保留了斜动作. 这项研究评估了青少年特异性脊柱病患者在VBT手术后的脊柱运动.
科学领域:
- 脊椎手术
- 整形医学
- 青少年特异性脊椎病
背景情况:
- 脊柱体绑定 (VBT) 是一种越来越受欢迎的运动节约手术技术.
- 根据不同的VBT方法,关于运动保存的数据有限.
- 这项研究研究了胸部,腰部和双侧手术后的脊柱运动.
研究的目的:
- 在VBT后评估脊柱运动在角和冠状平面的保存.
- 在青少年异常脊椎病 (AIS) 患者中比较术前和术后的冠状动脉范围.
- 评估VBT后保存的斜腰运动弧.
主要方法:
- 对接受VBT的AIS患者进行了回顾性比较研究.
- 使用微剂量槽扫描测量冠状动脉范围.
- 曲/延伸射线图用于评估斜臂运动.
- 没有带断裂的患者.
主要成果:
- 平均随访时间为2. 8年,其中26. 9%的骨成熟.
- 胸脊运动减少了59%,腰脊运动减少了51%.
- 在仪器段中保持了20-25度的弧形运动.
- 曲超过伸展在斜臂运动.
结论:
- VBT导致冠状脊柱运动显著下降 (57-60%).
- 在VBT之后,角平面运动在很大程度上保留了.
- 需要进一步的研究来确定VBT诱导的运动保存的功能益处.
相关概念视频
Vertebral Column: Regions and Curvature
4.1K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
4.1K
General Structure of a Vertebra
3.4K
A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
3.4K
Articulations of the Vertebral Column
2.2K
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
2.2K


