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结合融合的三级宫椎间盘关节整形与三级ACDF相比:系统性审查和元分析
Chinedu Egu1, Neel Badhe2, Hussein Akil3
1Trauma and Orthopaedics, South Tyneside and Sunderland Royal Hospital NHS Foundation Trust, Sunderland, UK.
Global spine journal
|February 9, 2026
概括
三级混合手术 (HS) 和前椎切除和融合 (ACDF) 为多层子宫退行性疾病提供了相似的临床结果. HS保留了运动,但有异型骨化风险,而ACDF具有更高的仪器失效率.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 退行性椎脊柱疾病 退行性椎脊柱疾病
- 手术技巧 手术技巧
背景情况:
- 多级子宫退行性疾病需要有效的手术管理.
- 前椎切除和融合 (ACDF) 是一种常见的治疗方法.
- 宫椎间盘关节整形术 (CDA) 与ACDF (混合手术,HS) 结合是一种替代方法.
研究的目的:
- 为了比较三级HS与三级ACDF的临床,放射和并发症结果.
- 评估这些手术技术在多层次子宫退行性疾病的疗效和安全性.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 包括9个回顾性队列研究,涉及704名患者 (450名HS,254名ACDF).
- 对临床,放射学,术后和并发症结果的平均差异的聚合分析.
主要成果:
- 无论是HS还是ACDF,都改善了残疾和骨髓病的得分.
- 高速显示出卓越的操作级别的运动范围 (ROM) 保存.
- ACDF显示了较高的仪器故障率,而HS则增加了异型骨化.
结论:
- 三级HS和ACDF在多级子宫退行性疾病中产生了可比的临床结果.
- HS提供了更好的运动保存,但具有更高的异型骨化风险.
- ACDF可能与仪器失效的增加有关;长期研究是有必要的.
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