胸椎间盘的体积和症状特征:对994名手术治疗患者的观察研究
Roque Carlos Fernandez Vico1,2, Victor Rodrigo Paradells3, Stephan Dützmann1
1Hochtaunus Klinik, Bad Homburg, Germany, Germany.
概括
胸椎间盘 (TDH) 呈现出各种症状. 矛盾的是,较大的可能会显示出较少的神经缺陷,这表明脊髓适应. 需要对TDH自然史进行进一步的研究.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 胸椎间盘 (TDH) 由于靠近脊髓,造成了诊断和治疗方面的挑战.
- 了解TDH特征与患者结果之间的相关性对于有效的管理至关重要.
研究的目的:
- 分析手术治疗的TDH的临床和放射性特征.
- 调查体积评估和TDH的新型分类系统.
- 探索的特征和患者症状之间的关联.
主要方法:
- 在20年内对994名经过手术治疗的TDH患者进行了回顾性审查.
- 基于放射性轴面积 (A,B,C) 和侧面 (中心,单边,双边) 的TDH分类.
- 计算与通道体积比率,并检查症状关联.
主要成果:
- 大多数TDH发生在下胸脊柱 (71.5%),主要集中在中央 (67.4%),平均占用道45%.
- 比A型 (19.4%) 更频繁的是B型 (48%) 和C型 (32.6%) .
- 较大的 (B,C) 显示出较少的运动障碍,表明脊髓重塑;单侧病变与神经学缺陷相关,而双侧病变增加了疼痛和步行问题.
结论:
- TDH展示了各种不同的临床和放射学表现.
- 较大的TDH可能具有较低的神经损伤的几率,这表明有补偿机制.
- 卷度评估和系统分类对于TDH管理和未来的研究至关重要.
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