可扩展的体间在1-3级周围腰椎关节,随访2年:一项回顾性研究
Fava Marco1, Vommaro Francesco1, Toscano Angelo2
1Complex Spinal Surgery Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Bioengineering (Basel, Switzerland)
|November 27, 2025
概括
可扩展的身体间有效地恢复和维持脊柱细分位和圆盘高度在开放的跨腰间体融合 (TLIF) 程序两年. 这些结果凸显了这项技术在改善患者治疗结果方面的潜力.
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:
- 静态的身体间是脊柱融合,稳定性和主病恢复的标准.
- Sagittal 平衡和细分 lordosis 对于长期的腰部融合成功至关重要.
- 可扩展的体间提供了一个潜在的替代静态.
研究的目的:
- 用可扩展子评估标准的开放型变形腰椎体融合 (TLIF) 的放射性结果.
- 在为期两年的随访期间评估与此程序相关的并发症.
主要方法:
- 在71名患者 (129个水平) 上使用可扩展进行了标准的开放TLIF程序.
- 放射性评估是在手术前,手术后立即,以及手术后的一年和两年使用站立横向X射线进行的.
主要成果:
- 细分主,前盘高度,后盘高度和前高度的显著增加被观察到并维持了两年 (p < 0.001).
- 腰部主症最初增加,但在一年和两年后略有下降.
- 报告的并发症率较低,有1例手术部位感染和2例机械并发症.
结论:
- 可扩展的体间可以在开放的TLIF中优异地恢复和维护磁盘高度和细分主.
- 最佳的结果取决于细致的外科手术技术,包括端板的准备,子的放置/扩张,面部骨切除术和后部压缩.
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