双平面与单平面的足骨减去骨切术对于成年人刚性脊柱形:交易安全的纠正?
Lluís Vila1, Sleiman Haddad2, Susana Núñez-Pereira2
1Vall d'Hebron Hospital Universitari, Barcelona, Spain. vilalluis4@gmail.com.
概括
双平面足骨减去骨切除术 (BiPSOs) 能够有效地纠正形和冠状平面的刚性脊柱形. 这项研究发现,与单平面手术相比,BiPSO在不增加手术风险或并发症的情况下实现了最佳对齐.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 成年人的脊柱形
- 双平面脚减去骨质切除术.
背景情况:
- 足骨减去骨切除术 (PSO) 已被确立为形形.
- 双平面PSO (BiPSO) 的有效性和安全性尚未得到很好的定义.
研究的目的:
- 评估BiPSO是否会损害斜正确的情况.
- 评估BiPSO是否会增加外科手术发病率或并发症率.
主要方法:
- 一个潜在的多中心成人脊柱形数据库的回顾性分析.
- 包括单次施瓦布-3/4 PSO 和 >= 2 年随访的患者.
- 通过两平面的细分角度变化>5°定义的BiPSO;在一个平面中单平面 (UPSO).
主要成果:
- 分析了33个BiPSO和123个UPSO;没有人口统计差异.
- 双PSO患者的手术前冠状元对齐情况更差,科布角更大.
- 实现了可比的术后斜面和冠状线对齐,手术侵略性和并发症率.
结论:
- BiPSO有效地治疗了刚性双平面变形.
- 达到最佳的冠状正,而不会损害角对齐.
- 不要增加手术致病率或神经系统风险.
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