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Updated: Jan 10, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Published on: November 8, 2024

成年脊柱病理中的单边后部稳定:动态与刚性系统的临床,放射和并发症结果的比较.

Uzay Erdogan¹, Ege Anil Ucar², Feride Bulgur Balay¹

¹Bakırköy Prof. Dr. Mazhar Osman Training and Research Hospital, Istanbul 43606, Turkey.

Medicina (Kaunas, Lithuania)

|November 27, 2025

概括

单边脊柱稳定有效缓解疼痛,与动态系统相比,动态系统可能会减少并发症,特别是在多层次的情况下. 这两种方法都能缓解症状,但动态稳定可以更好地保持运动并最大限度地减少相邻部分的压力.

关键词:

邻近的细分体疾病的疾病.动态稳定动态稳定后背脊椎仪器仪器仪器仪器仪器仪器伪关节炎是一种伪关节炎.治疗结果治疗结果这是一种单边固定.

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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
神经外科神经外科

背景情况:

单边脊柱稳定是侧向脊柱病态的双边固定的不那么侵入性的替代方案.
对于多级应用中的刚性与动态单边系统的比较数据有限.

研究的目的:

为了比较单边刚性稳定 (URS) 与单边动态稳定 (UDS) 的临床疗效,放射性结果和并发症概况.
根据构造长度 (2,3或4级) 分析结果.

主要方法:

对113名接受单边后脊柱稳定治疗 (2019-2023) 的患者进行了回顾性分析.
组:URS (n=41) 和UDS (n=72) 的情况.
评估结果:视觉模拟尺度 (VAS),融合状态,相邻的圆盘高度,前高度指数和并发症率 (ASD,伪关节炎,螺丝松动).

主要成果:

无论是URS还是UDS都显示出显著的VAS改善 (p < 0.001).
尿动关节炎的融合率较高 (85.37%与27.78%,p < 0.001),但伪关节炎的发生率较高 (39.02%与16.62%).
复杂性率,特别是相邻段变性 (ASD),随着较长的结构 (p=0.01),无论稳定类型如何,都会增加.

结论:

单边稳定 (刚性或动态) 有效地缓解症状,降低发病率.
动态系统可能提供生物力学优势,保存运动并最大限度地减少相邻部分的应力.
对于多层结构来说,建议使用动态稳定,以优化结果并减轻长期并发症.