融合构造在变形纠正后平稳下来,用于退行性斜面失衡
Chang Ju Hwang1, Sang Yun Seok2, Young Tak Yu3
1Department of Orthopaedic Surgery, Seoul Asan Medical Center, Ulsan University School of Medicine, Seoul, South Korea.
Neurosurgery
|January 30, 2026
概括
大约30%的患有退行性沙吉塔不平衡的患者在手术后3个月内失去腰部主症. 后列骨切除术增加了在形纠正后这种形减少的风险.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 变形纠正 变形纠正 变形纠正
背景情况:
- 侧腰间体融合用于恢复退行性斜不平衡 (DSI) 中的主病.
- 术后可能发生氏病的丧失,影响手术的结果.
- 有助于这种主病减少的因素需要确定.
研究的目的:
- 在随访期间评估椎主病变化的融合结构内变化.
- 为了确定与腰部主症在DSI变形纠正后减少相关的因素.
主要方法:
- 对124名DSI患者的回顾性分析和>2年的随访.
- 根据≥5°的主症减少,分层分为主症维持 (n=86) 和损失 (n=38) 组.
- 评估影响主病减少的人口,放射和外科手术因素.
主要成果:
- 失败组的lordosis减少平均为9.79°,而维持组的1.42° (P < .001).
- 大多数主症的损失发生在手术后3个月内.
- 后列骨切除与氏损失有显著的相关性 (aOR=3.524,P=.020).
结论:
- 大约30%的DSI患者在手术后3个月内经历了融合结构的稳定.
- 端板损伤和子沉降在各组之间没有显著差异.
- 后列骨切除术是与增加主症减少相关的关键因素.
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