年老的胸结核病与阴和严重的骨质疏松症用聚甲基甲酸增强螺丝固定治疗
B Yogesh Kumar1, Bharath Loganathan2, D Vijayakumar3
1Department of Orthopaedics, SRM Global Hospitals, Chennai, Tamil Nadu, India.
Surgical neurology international
|February 2, 2026
概括
这项研究表明,用聚甲基甲酸盐 (PMMA) 增强的脚螺丝固定是老年骨质疏松症患者与脊髓结核病 (TB) 相关的密症的成功治疗方法,实现了稳定的融合和神经恢复.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 传染性疾病 传染性疾病
背景情况:
- 由于脊髓结核病 (TB) 引起的骨质疏松症患者面临着植入失败的高风险.
- 用聚甲基甲酸盐 (PMMA) 增强的脚螺丝固定提供了即时的稳定性,但增加了感染风险.
- 这一案例评估了一名骨质疏松症老年女性结核病相关的形的成功管理.
研究的目的:
- 为了评估PMMA增强脚螺丝固定在一个老年骨质疏松症患者与脊柱结核病相关的形的结果.
- 评估这种手术技术在高风险患者群体中的疗效和安全性.
主要方法:
- 一名78岁的骨质疏松症女性患有T12-L1脊髓炎和气囊炎,经历了后部PMMA增强螺丝固定 (T9-L4).
- 该程序补充了前部重建,/骨移植和抗结核治疗.
- 手术后,患者接受了特里巴拉提德,并对融合稳定性和神经恢复进行了监测.
主要成果:
- 组织学和培养证实脊柱结核病,导致适当的抗结核疗法.
- 在手术后3个月内观察到完全的神经恢复.
- 2年后的成像证实了稳定的脊髓融合,没有复发或植入失败的迹象.
结论:
- 与抗结核疗法相结合的PMMA增强的脚螺丝固定,是老年骨质疏松患者脊柱结核相关的有效治疗方法.
- 这种方法提供了立即的稳定性,促进了融合,并导致了有利的神经结果.
- 仔细的患者选择和管理对于减轻感染等潜在风险至关重要.
相关概念视频
Screw: Problem Solving
701
In mechanical engineering, the interaction between a threaded screw shaft and a plate gear involves analyzing the resisting torque on the plate gear that can be overpowered when a specific torsional moment is applied to the shaft. To better comprehend this concept, consider a generic situation with a threaded screw shaft with a given mean radius and lead and a plate gear with a specified mean radius. The coefficient of static friction between the screw and gear is also provided.
To evaluate the...
To evaluate the...
701
Self-Locking Screw
2.5K
A square-threaded screw jack is a mechanical device widely used for lifting heavy loads or applying considerable force. One of the key features that can make a screw jack more effective and reliable is its self-locking capability.
A square-threaded screw jack carrying a load is considered self-locking if the screw retains its position even after the moment applied to it is removed.
A square-threaded screw jack carrying a load is considered self-locking if the screw retains its position even after the moment applied to it is removed.
2.5K
Frictional Forces on Screws
1.6K
Screws are characterized by a helical ridge known as a thread wrapped around a cylindrical shaft. They are commonly used as fasteners to hold objects together or to transmit power and motion in machines. One type of screw that is particularly useful for transmitting power is the square-threaded screw.
A jack with a square-threaded screw is a mechanical device used to lift heavy loads by applying a force at its handle. When the force is applied, the screw turns, raising the load. The screw can...
A jack with a square-threaded screw is a mechanical device used to lift heavy loads by applying a force at its handle. When the force is applied, the screw turns, raising the load. The screw can...
1.6K
Fixation and Sectioning
7.9K
Two basic types of preparation are used to visualize specimens with a light microscope: wet mounts and fixed specimens.
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
7.9K
Pulmonary Tuberculosis I
963
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
963
Pulmonary Tuberculosis II
1.5K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.5K


