在Lenke2型青少年异常变形脊柱症中,术后肩部不平衡与远端添加和远端结节的相关性:一项回顾性研究

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Norihiro Isogai^1,2,3,4, Satoshi Suzuki^1,2, Nao Otomo^1,2

¹Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.

Asian spine journal

|September 18, 2025

概括

在青少年异常学脊椎病 (AIS) 患者的手术后肩部不平衡 (PSI) 与远端结节囊 (DJK) 不相关. 仔细的下部仪器脊椎 (LIV) 选择是AIS手术中有利结果的关键.

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
青少年的异常学变脊椎病变.

背景情况:

手术后的并发症,如肩部不平衡 (PSI) 和远端结节囊 (DJK) 是青少年异常学脊椎病 (AIS) 手术中的担忧.
虽然已知PSI,远端添加 (DA) 和DJK的风险因素,但PSI和DJK之间的具体相关性仍未得到充分研究.

研究的目的:

研究Lenke2型AIS患者手术后肩部不平衡 (PSI) 和远端结节 (DJK) 之间的关系.
评估AIS患者的放射性参数和临床结果,这些患者正在接受后部正和融合.

主要方法:

对62名Lenke2型AIS患者的回顾性分析.
患者根据手术后2年的肩高度被分为PSI和非PSI.
在不同组之间比较放射性参数 (LEV,LIV,SSV,DA,DJK) 和SRS-22得分.

主要成果:

在PSI和DJK之间没有发现显著的相关性.
与非PSI组相比,PSI组显示出更高的LIV-LEV.
虽然在非PSI组中发生了一些DJK病例,但在LIV-SSV中没有发现群体之间的显著差异.

结论:

靠近性LIV选择可能有助于稳定的DA和DJK.
远距离LIV延伸不需要预防DA和DJK.
通过适当的LIV选择,可以实现有利的肩部平衡和临床结果.

关键词:

远距离的添加-在上.远距离的结节形.列恩克2型列恩克2型积极的肩部不平衡.脊椎形症是什么? 脊椎形症是什么?

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