宫参数对宫椎椎间盘的患者内膜外皮类固醇注射治疗结果的影响
Serdar Kokar1, Ridvan Isik2, Rekib Sacaklidir3
1Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Faculty of Medicine, İstanbul, Türkiye.
Turkish journal of physical medicine and rehabilitation
|November 19, 2025
概括
宫对齐的参数,如C7斜率,脊角 (SCA) 和宫斜垂直轴 (cSVA) 显著影响了外围注射类固醇注射治疗根部疼痛的成功. 了解这些参数可以优化治疗结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 疼痛管理 疼痛管理
- 放射学 放射学是一门学科.
背景情况:
- 宫内膜外围注射类固醇注射对于根性疼痛是常见的.
- 患者的结果可能会有所不同,这表明有影响因素.
- 宫对齐可能在治疗疗效方面发挥作用.
研究的目的:
- 为了研究宫对齐参数与光学指导的宫内膜内膜外周类固醇注射的结果之间的关系.
- 为了确定C7斜率,脊角 (SCA) 和部松垂直轴 (cSVA) 是否与疼痛减轻和功能改善相关.
主要方法:
- 对63名患有椎根性疼痛的患者进行前性观察性研究.
- 测量C7斜率,SCA和cSVA从手术前的X线图.
- 疼痛 (NRS),残疾 (NDI) 和生活质量 (SF-12) 在基线,注射后3周和3个月的评估.
主要成果:
- 在SCA和改善的NRS/NDI得分之间发现了中等的正相关性.
- 在C7斜率和cSVA之间观察到中度负相关性,NRS/NDI得分得到改善.
- 在对齐参数和SF-12物理和心理成分得分之间观察到的相关性.
结论:
- 宫对齐参数 (C7斜率,cSVA,SCA) 是影响宫内膜外皮类固醇注射成功的重要因素.
- 这些参数应在评估患者和预测这种治疗结果时考虑.
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