导致宫椎间盘关节整形术后修复手术的并发症概况
Giuseppe Loggia1, Franziska C S Altorfer1, Fedan Avrumova1
1Department of Spine Surgery, Hospital for Special Surgery, New York, NY, USA.
概括
宫盘关节整形术的并发症,如迁移和沉降,发生在早期到中期,而疼痛和骨化则出现晚些时候. 大多数修订转换为融合,Mobi-C显示的融合转换较少.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 宫椎间盘关节整形术 (CDA) 是一种运动保存的替代前椎间盘切除和融合用于退行性宫椎间盘疾病的替代方案.
- 在过去的十年中,CDA程序的比率增加了654%.
- 由于CDA的并发症,可能需要重复手术或转换为融合.
研究的目的:
- 评估宫椎间盘关节整形术并发症的时间 (早期,中期,晚期).
- 分析导致修复手术的并发症进展情况.
主要方法:
- 对9种CDA设备的FDAMAUDE数据库 (2005-2023) 的回顾性审查.
- 根据术后发病情况分类的并发症:早期 (<6个月),中期 (6-18个月),晚期 (>18个月).
- 修订类型分类为重复CDA或转换到融合.
主要成果:
- 审查了688个修改病例;265个报告的发病时间 (中位数为12个月).
- 移民是最常见的早期和中期并发症.
- 部疼痛和异型骨化 (HO) 在晚期最常见.
结论:
- CDA并发症的时间有所不同,迁移早期/中期和疼痛/HO晚期.
- 大多数设备在修改后通常转换为融合.
- 数据有助于临床医生在CDA后对患者进行监测.
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