退行性腰椎脊柱狭窄症与骨质疏松性脊椎骨折,涉及端板:一个回顾性研究
Qiang Zhang1, Zhe Chen1, Yazhou Lin1
1Department of Orthopedics, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Ruijin Er Road, Shanghai, 200025, People's Republic of China.
BMC surgery
|October 10, 2025
概括
腰椎脊柱狭窄症 (LSS) 的手术治疗与涉及端板的骨质疏松性脊椎骨折 (OVF) 提供了显著的临床改善. 压缩减压和结合整形术都是治疗这种复杂疾病的有效策略.
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
- 退行性脊柱疾病是一种退行性脊柱疾病.
背景情况:
- 腰椎脊柱狭窄 (LSS) 与骨质疏松性脊椎骨折 (OVFs) 涉及端板是一种罕见且具有挑战性的疾病.
- 由于患者的并发症和骨折复杂性,手术管理需要仔细考虑.
研究的目的:
- 为了评估退行性LSS外科手术的临床结果,结合终端板参与的OVFs.
- 为了在这个患者队伍中比较压缩减压与肌肉整形治疗的有效性与肌肉整形治疗的融合效果.
主要方法:
- 对9名经过手术治疗的LSS和末端板受影响的OVF患者的回顾性分析.
- 手术的选择包括用整形术减压或用整形术融合.
- 使用视觉模拟尺度 (VAS) 和日本整形医学协会 (JOA) 评分评估的临床结果;X射线评估稳定性和融合.
主要成果:
- 在术后观察到VAS和JOA得分的显著改善,并在随访期间保持.
- 随着囊整形的减压,没有显示脊椎间高度损失或细分不稳定性.
- 整形术的融合成功地实现了融合,没有像植入物松动或子沉降等重大并发症.
结论:
- 退行性LSS与涉及端板的OVF是一种复杂的疾病,需要量身定制的手术方法.
- 压缩减压与囊整形以及结合囊整形都是有效的,提供持续的临床益处.
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