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减肥手术前后肥胖患者的腰部疼痛,残疾和斜腰对齐:一项比较研究

Mohammad Daher¹, Alice Boishardy², Maud Monsaingeon-Henry³

¹Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon; Department of Orthopedic Surgery, Brown University, Providence, RI 02906, USA.

Clinical neurology and neurosurgery

|October 1, 2025

概括

腹部手术 (BS) 显著减少腰部疼痛,并改善肥胖患者的功能. 这种方法为患有背部疼痛的致病肥胖个体提供了脊柱手术的引人注目的替代方案.

科学领域:

整形外科整形外科整形外科
腹部外科腹部外科
脊柱健康脊柱健康

背景情况:

肥胖与增加腰部疼痛和残疾有关.
腹腔外科手术 (BS) 在缓解疼痛方面表现有前途,但其对整体斜平衡的影响还未得到充分研究.

研究的目的:

为了比较腰部疼痛,患者报告的结果测量 (PROMs) 和肥胖患者在BS之前和之后的斜腰对齐.
调查BS对脊柱参数和功能结果的影响.

主要方法:

对前性收集的41名肥胖患者的数据进行了回顾性分析,BS后1年随访.
收集的数据包括人口统计,疼痛评分 (NRS),PROMs (SF-12,ODI,北克得分) 和放射性参数.

主要成果:

BS导致体重和BMI显著降低,腰痛患病率 (66%至17%) 和强度 (NRS分数) 显著下降.
在ODI和PCS-SF12分数中观察到改善. 放射分析显示,十字斜率降低和腰椎位,盘高度增加L4-L5和L5-S1.1.

结论:

在肥胖患者中,BS显著降低腰部疼痛并增强功能.
BS是脊椎手术的可行替代方案,用于治疗患有致病肥胖症的人的背痛.
这些发现支持了机械理论,该理论将多余体重与磁盘退化联系起来.

关键词:

腹腔外科手术是什么意思腰部疼痛腰部疼痛腰部疼痛肥胖问题肥胖问题萨吉塔斯平衡的平衡是什么

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