跨神经跨形螺丝固定后的逆侧背部疼痛:硬件移除后的解决方案
Dillon Murugesan1, Hans Owuor, Kenneth Egol
1Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York.
JBJS case connector
|January 23, 2026
概括
用于骨盆环骨折固定的跨神经跨 (TSTI) 螺丝可以导致长期的逆侧疼痛. 硬件移除解决了症状,这表明TSTI螺杆放置需要仔细考虑以避免SI关节并发症.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 骨盆骨折 骨盆骨折 骨盆骨折是什么?
背景情况:
- 骨盆环骨折是严重的伤害,通常需要手术干预.
- 跨神经跨阴道螺丝 (TSTI) 用于稳定骨盆环骨折.
- 对于TSTI固定的长期并发症没有得到广泛的证据.
研究的目的:
- 在TSTI螺杆固定骨盆环骨折后报告慢性逆侧疼痛病例.
- 讨论与TSTI螺杆放置相关的潜在长期并发症.
- 提供有关TSTI固定的外科决策的信息.
主要方法:
- 一个16岁的女性患有骨盆环骨折 (LC-2) 的病例报告,接受了TSTI螺丝固定治疗.
- 手术后4年,慢性逆侧疼痛的初始恢复和随后的发展的记录.
- 外科硬件的移除和评估症状的解决.
主要成果:
- 患者最初从骨盆环骨折修复中恢复过来.
- 在TSTI固定四年后,该患者出现了慢性右侧背部疼痛.
- 在拆除硬件后,患者在1年内保持无症状.
结论:
- 通过TSTI螺丝穿透逆侧关节 (SI关节) 可能导致长期的逆侧疼痛.
- 这一案例突出了TSTI固定的潜在并发症,尽管这种并发症很少见.
- 外科医生应仔细考虑TSTI螺杆放置,以减轻SI关节相关发病风险.
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