在宫脊椎手术后患有术后C5的患者中,描述旋转手套损伤的发生率和管理
Michael J Albdewi1, Rushikesh S Joshi2, Edward S Harake1
1School of Medicine, University of Michigan, 1300 Catherine Street, Ann Arbor, Michigan 48109, USA.
World neurosurgery
|February 7, 2026
概括
手术后的C5 (C5神经根) 影响了4%的椎手术,可能导致肩膀受伤. 早期诊断和管理至关重要,因为干预措施提供有限的症状解决.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 宫脊椎手术后的常见并发症C5,可以导致肩部功能障碍.
- 了解C5的发生率和结果对于患者管理至关重要.
研究的目的:
- 为了确定手术后C5和相关的肩部损伤的发生率.
- 分析随后的骨科干预及其结果.
- 为了告知临床管理策略,以预防部脊椎手术后的肩损伤.
主要方法:
- 从2016年到2024年对医疗记录的回顾性审查.
- 在宫融合后的C5麻和/或骨软弱患者的鉴定.
- 分析手术因素,症状,成像和骨科干预.
主要成果:
- C5发生在4%的手术中,平均发病时间为5天.
- 拉美切除术水平的增加与较早的C5发作相关.
- 11%的C5患者需要骨科干预,症状缓解程度有限 (25%完整).
结论:
- C5的发病率为4%,较高的断层切除率与早期发病有关.
- 持续的C5会增加肩部干预的风险,结果不好.
- 早期诊断和管理对于患有C5的患者至关重要.
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