开放式与穿皮式短段后部仪器仪表在胸脊柱结口爆裂骨折中
Yücel Bilgin1, Saltuk Buğra Güler2, Burak Akesen1
1Department of Orthopedics and Traumatology, Bursa Uludag University, Faculty of Medicine, Bursa-Türkiye.
概括
与开放式手术相比,穿皮后部仪器用于胸脊柱突破骨折提供了更好的临床结果,包括减少疼痛和残疾. 这两种方法在脊椎高度和脊柱对齐方面都取得了类似的放射性改善.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 骨科创伤的创伤是什么
- 最少侵入性手术的方法
背景情况:
- 胸腔关突裂骨折带来了重大的外科手术挑战.
- 将开放式后部仪器与穿皮式后部仪器进行比较对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较手术数据,临床结果和胸脊柱突破骨折的开放式和穿皮式后部仪器之间的放射性结果.
- 评估最小侵入性皮肤穿刺技术与传统开放手术的疗效和安全性.
主要方法:
- 一项对73名患有胸突裂骨折的患者进行的比较研究,这些患者接受了开放式 (43名患者) 或皮肤穿透式 (30名患者) 后部仪器仪表.
- 记录了手术期间的参数,包括手术时间,血液损失和住院时间.
- 在多个时间点使用视觉模拟量表 (VAS) 和奥斯威斯特残疾指数 (ODI) 评估了临床结果.
- 放射性评估包括前脊椎体高度比 (AVBHR) 和科布角.
主要成果:
- 皮肤外科手术需要更长的光镜时间,但导致住院时间更短.
- 接受皮穿式仪器仪表的患者在7天和最终随访时显示出明显更好的VAS和ODI得分.
- 这两种手术方法都在术后产生了可比的AVBHR和 sagittal Cobb角的改善.
结论:
- 穿皮后部仪器与与开放外科手术相比,胸脊柱突破骨折的临床结果更好.
- 这两种方法都提供了相似的放射性校正,这表明穿皮疗法作为一种可行的,不那么侵入性的替代方案.
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Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History: