放开它:增长友好型毕业生的自然历史,没有最终的融合
Rayyan Abid1,2, Bryan O Ren3, Robert F Murphy4
1Department of Orthopaedic Surgery, University Hospitals Rainbow Babies and Children's, 2101 Adelbert Rd, Cleveland, OH, 44106, USA.
Spine deformity
|January 24, 2026
概括
没有最终融合的增长友好型脊柱体外科手术显示,意外返回OR (UPROR) 和并发症的几率很低. 在最终延长后移除植入物可能会增加并发症,但保持中度曲线校正.
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
- 脊椎病管理 脊椎病管理
背景情况:
- 没有最终融合的生长友好型脊椎病治疗的自然历史尚未得到充分记录.
- 之前对无融合生长棒的研究范围和患者数量有限.
研究的目的:
- 为了评估患者的长期结果治疗增长友好的仪器 (TGR或VEPTR) 没有最终的融合.
- 为了比较植入物保留和移除组之间的并发症和意外返回手术室 (UPROR) 率.
主要方法:
- 用TGR或VEPTR治疗的患者的多中心回顾性审查和至少2年的随访.
- 卡普兰-梅尔分析以评估随时间推移的UPROR和并发症率.
- 收录标准:没有最终的融合,已完成计划中的干预,足够的后续行动.
主要成果:
- 包括233名患者,203人 (87%) 保留了植入物,30人 (13%) 移除了植入物.
- 植入物保留组:5%的UPROR,20%的并发症. 移除植入物组:0%的UPROR,33%的并发症.
- 两组都保持了中度的冠状曲线修正 (14.3°与19.0°的增加).
结论:
- 没有最终融合的增长友好型脊椎病治疗具有较低的UPROR和并发症率.
- 移除植入物后的最终延长与更高的并发症率有关.
- 避免最终的融合可能是一个可行的选择,选择早期发病的脊椎病患者.
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