目的:本回顾性研究评估Hsu-lace技术在胸腰椎骨盆重建术患者中创造“软着陆”的效果,旨在减少近端连接失败和再手术率。本研究旨在展示成人脊柱畸形(ASD)手术中的一种新技术,探讨人工棘间尼龙和肌腱软稳定对近端关节后凸/失稳(PJK/PJF)和融合率延长的影响。方法:回顾性分析2019年以来53例接受胸腰椎骨盆融合治疗ASD的患者。患者根据人工棘间稳定分为两组,其中根据每个病例选择的器械确定使用- Nile-Life Health Care (n = 27)或肌腱/Ausbio-APM(n = 26)。数据收集包括人口统计学、手术细节、随访、PJK、PJK时间、再手术和融合延长。结果:8例患者在6个月前发生PJK, 5例患者接受融合延长。这些延长的患者中有80%来自Nile-LHC组。尽管如此,我们有3例患者发生PJK,但没有近端连接衰竭(PJF)。结论:我们相信Hsu-lace技术是有效的,改变了我们的做法,降低了PJF和融合率的延长。
期刊介绍:
"European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts.
Official publication of EUROSPINE, The Spine Society of Europe