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部脊柱综合征:同时患有部和脊柱退行性病理的患者的管理
Hai Van Le1, Hania Shahzad, Eric Klineberg
1From the Davis Department of Orthopaedic Surgery, University of California, Sacramento, CA (Le, Shahzad, Klineberg, and Lum), and the Department of Orthopaedic Surgery, University of Southern California, Los Angeles, CA (Heckmann).
椎综合征 (HSS) 涉及关节和脊椎同时退化. 确定主要的疼痛来源对于有效的治疗至关重要,指导是否首先进行部或脊柱手术.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 关节脊柱综合征 (HSS) 是指关节和脊柱的同时发生的退行性疾病.
- 高血压表现出各种症状,如腰部疼痛,沟疼痛和根性腿部疼痛.
- 它被分为简单的,次要的,复杂的或误诊的类别.
研究的目的:
- 审查关于管理关节脊柱综合征 (HSS) 的当前文献.
- 强调HSS的外科治疗策略.
- 讨论确定主要疼痛发生器和测序手术干预的复杂性.
主要方法:
- 对最近关于关节脊柱综合征的科学文献进行了全面的审查.
- 对诊断方法的分析,包括临床检查和注射.
- 评估影响关节或脊柱干预手术决策的因素.
主要成果:
- 有效的HSS管理需要涉及骨科外科医生,神经外科医生,物理治疗师和物理治疗师的多学科方法.
- 在手术规划之前,准确识别主要疼痛发生器是必不可少的.
- 部与脊柱手术的顺序取决于临床,放射和手术因素.
结论:
- 脊椎综合征是一个复杂的临床挑战,需要仔细的诊断评估.
- 多学科合作是成功治疗HSS的关键.
- 个性化治疗计划,考虑到主要的疼痛源和手术因素,是最佳结果的必要条件.
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