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磁控生长棒的指示随着时间的推移而演变.
Katherine D Sborov1, Paal K Nilssen1, Lindsay M Andras2
1Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, 444 S San Vicente Blvd #901, Los Angeles, CA, 90048, USA.
Spine deformity
|January 20, 2026
概括
磁控生长棒 (MCGRs) 在最初迅速被用于治疗脊椎病,但在2017年后使用量下降. 最近的趋势显示,在神经肌肉病例和较大的曲线中应用的增加.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱外科手术 脊柱外科手术
- 生物医学工程 生物医学工程
背景情况:
- 磁控生长棒 (MCGRs) 提供了一种不那么侵入性的治疗脊椎病的方法.
- 了解MCGR利用的趋势对于优化治疗策略至关重要.
研究的目的:
- 分析使用磁控生长棒 (MCGRs) 治疗脊柱的时间趋势.
- 确定影响MCGR使用的采用和随着时间的推移而演变的因素.
主要方法:
- 对2014年至2021年期间接受MCGR治疗的患者进行了多中心儿科脊柱数据库查询.
- 分析包括人口统计数据,脊椎病病因,手术方法 (指数与转换) 和曲线大小.
主要成果:
- 2014年后的MCGR使用量激增,在2017年达到顶峰,随后到2021年稳步下降.
- 主要的MCGR植入率从67%增加到99%,而利用率则转向神经肌肉脊柱病和更大的曲线 (>80度).
- 年龄和体重的变化很小,但在较小的曲线 (<60度) 中使用率下降.
结论:
- 首次广泛采用MCGR已经发展,目前的指示集中在特定的患者群体.
- 这一趋势表明,人们正在转向使用MCGR来治疗更复杂的病例,包括神经肌肉脊柱病和更大的脊柱形.
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