在骨质疏松性脊椎压缩骨折的皮肤间脊椎增强中,单边的外踏相对于单边和双边的跨踏相对应:一个元分析
Jun-Feng Du1, Wei-Dong Chen, Lin Liang
1zjdujunfeng_1982@sina.com Department of Orthopedics, Shangyu People's Hospital of Shaoxing, Shaoxing University, Shaoxing City, Zhejiang Province, 312300, China.
Joint diseases and related surgery
|December 14, 2025
概括
在骨质疏松性脊椎压缩骨折 (OVCFs) 中,单侧 extrapedicular 方法 (UEA) 与单侧 transpedicular 方法 (UTA) 相比,提供更短的手术时间. 在减少水泥泄漏和操作时间方面,UEA还表现出优于双边横行式方法 (BPA) 的优势.
科学领域:
- 整形外科手术 整形外科手术
- 最少侵入性手术的方法
- 脊柱外科手术 脊柱外科手术
背景情况:
- 骨质疏松性脊椎压缩骨折 (OVCFs) 是致病率的一个重要原因.
- 穿皮脊椎增强是OVCFs的常见治疗方法.
- 存在不同的外科手术方法,每个都有潜在的好处和缺点.
研究的目的:
- 为了比较单边外踏式方法 (UEA) 与OVCFs的跨踏式方法的有效性和安全性.
- 提供基于证据的外科手术结果分析.
主要方法:
- 发表到2025年5月的临床试验的元分析.
- 搜索了主要的数据库,包括科克兰图书馆,科学网,PubMed,Embase和SpringerLink.
- 包括830名患者的8项试验,分析了手术时间,水泥泄漏,水泥体积和光镜时间.
主要成果:
- 与单边横行式方法 (UTA) 相比,UEA显著减少了操作时间.
- 在减少水泥泄漏,水泥注射量,手术时间和手术内光学方面,UEA在双边跨脚式方法 (BPA) 上表现出显著的优势.
- 在UEA和BPA之间没有观察到术后疼痛或功能结果的显著差异.
结论:
- 与UTA相比,UEA在管理OVCF时提供了较短的操作时间.
- 在关键的安全性和效率指标上,UEA优于BPA,包括水泥泄漏和运行时间.
- 在OVCFs中,UEA代表了一种潜在的优势方法,用于皮肤间的脊椎增强.
更多相关视频
相关概念视频
Shearing Stress
Shearing stress, denoted by the Greek letter tau (τ), is stress caused by forces acting transversely on an object. These forces create internal ones within the entity in the plane where the external forces are applied. The resultant of these internal forces is the shear in the section.
The average shearing stress can be calculated by dividing the shear by the area of the cross-section.
The average shearing stress can be calculated by dividing the shear by the area of the cross-section.
Stress: General Loading Conditions
To grasp the intricacy of real-world conditions where multiple loads are applied simultaneously to a structure, one might visualize a section passing through a specific point within a body, aligned parallel to the xy plane. This section is subjected to various forces, including original loads, normal forces, and shearing forces.
The shearing force, possessing potential directionality within the plane of the section, is simplified into two component forces running parallel to the x and y axes.
The shearing force, possessing potential directionality within the plane of the section, is simplified into two component forces running parallel to the x and y axes.
Relation between Poisson's ratio, Modulus of Elasticity and Modulus of Rigidity
Deformation occurs in axial and transverse directions when an axial load is applied to a slender bar. This deformation impacts the cubic element within the bar, transforming it into either a rectangular parallelepiped or a rhombus, contingent on its orientation. This transformation process induces shearing strain. Axial loading elicits both shearing and normal strains. Applying an axial load instigates equal normal and shearing stresses on elements oriented at a 45° angle to the load axis.
Bending of Members Made of Several Materials
In analyzing a structural member composed of two different materials with identical cross-sectional areas, it is crucial to understand how their distinct elastic properties affect the member's response under load. The analysis involves assessing stress and strain distributions using the transformed section concept, which accounts for variations in material properties.
Hooke's Law determines stress in each material, stating that stress is proportional to strain but varies due to each material's...
Hooke's Law determines stress in each material, stating that stress is proportional to strain but varies due to each material's...
Plastic Deformations of Members with a Single Plane of Symmetry
When a structural member undergoes plastic deformation due to bending, it is crucial to understand the position of the neutral axis and the stress distribution. This member, characterized by a single plane of symmetry, exhibits a uniform stress distribution, with negative stress above the neutral axis and positive stress below. Notably, the neutral axis does not align with the centroid of the cross-section. This misalignment is typical in cases where the cross-section is not rectangular or...
Eccentric Axial Loading in a Plane of Symmetry
Eccentric axial loading occurs when an axial load is applied away from the centroidal axis of a structural member. This scenario is common in engineering, where structural elements may not be directly aligned due to various design or functional requirements.


