Acta Ortopedica Brasileira最新文献_第3页

ECONOMIC STUDIES IN BRAZILIAN ORTHOPEDICS: A SCOPING REVIEW. 巴西骨科的经济研究：范围综述。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e301641

Paulo Vitor Carrijo, Leonardo Addêo Ramos

引用次数: 0

ARE POSTS ABOUT TRIGGER FINGER ON THE SOCIAL NETWORK INSTAGRAM OF ADEQUATE QUALITY AND RELIABILITY? 社交网络instagram上关于扳机指的帖子质量和可靠性是否足够？

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e304605

Luiz Felipi Alves Bizareli, Heloisa Yumi Fujiya Sungaila, João Carlos Belloti, Marcel Jun Sugawara Tamaoki, João Baptista Gomes Dos Santos, Luis Renato Nakachima, Vinicius Ynoe de Moraes

{"title":"ARE POSTS ABOUT TRIGGER FINGER ON THE SOCIAL NETWORK INSTAGRAM OF ADEQUATE QUALITY AND RELIABILITY?","authors":"Luiz Felipi Alves Bizareli, Heloisa Yumi Fujiya Sungaila, João Carlos Belloti, Marcel Jun Sugawara Tamaoki, João Baptista Gomes Dos Santos, Luis Renato Nakachima, Vinicius Ynoe de Moraes","doi":"10.1590/1413-785220263405e304605","DOIUrl":"10.1590/1413-785220263405e304605","url":null,"abstract":"Introduction: Trigger finger (stenosing tenosynovitis of the flexors) is a common hand condition, causing pain and functional limitation. With the increasing use of social media as a source of information, especially Instagram, it becomes necessary to evaluate the quality and reliability of content related to the topic made available to the public.Objective: To evaluate the quality and reliability of information about trigger finger published on Instagram, using the validated instruments modified DISCERN and Global Quality Score (GQS).Methods: Observational, cross-sectional study based on the analysis of the hashtags #triggerfinger and #stenosingtenosynovitis. 118 eligible posts were analyzed. Two independent evaluators (orthopedic residents in hand surgery) classified the content.Results: There was excellent inter-rater agreement, and a positive correlation was observed between longer content duration and better quality. There was a significant difference between professionals: hand surgeons presented higher quality scores.Conclusion: The quality of the information is very low to moderate. Content produced by hand surgeons presents greater technical rigor, and the Reels format offers better informational quality. Level of evidence V; Descriptive observational study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e304605"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DISTAL TRICEPS TENDON RUPTURE DUE TO OLECRANON OSTEOPHYTE AVULSION: A CASE SERIES. 鹰嘴骨赘性撕脱致远端肱三头肌腱断裂：一个病例系列。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e297570

Ewerton Borges de Souza Lima, Tieslivi da Silva Vieira, Eduardo Bracco Cianciarulo, Paulo Santoro Belangero, Alberto de Castro Pochini, Benno Ejnisman

{"title":"DISTAL TRICEPS TENDON RUPTURE DUE TO OLECRANON OSTEOPHYTE AVULSION: A CASE SERIES.","authors":"Ewerton Borges de Souza Lima, Tieslivi da Silva Vieira, Eduardo Bracco Cianciarulo, Paulo Santoro Belangero, Alberto de Castro Pochini, Benno Ejnisman","doi":"10.1590/1413-785220263405e297570","DOIUrl":"10.1590/1413-785220263405e297570","url":null,"abstract":"Objective: To report a case series of distal triceps tendon rupture associated with olecranon osteophyte avulsion, a rare condition with few reports in the literature.Methods: This study analyzed patients who underwent surgical treatment between 2011 and 2022 for distal triceps tendon rupture associated with olecranon osteophyte avulsion. Clinical and radiographic characteristics, pain levels, and functional outcomes were assessed using the Q-DASH and MEPS scores.Results: There was a significant reduction in pain between the 1st and 12th weeks (mean VAS from 5.8 to 0.8; p<0.001). The mean Q-DASH score improved from 1.9 to 0.2 between the 6th and 12th months (p=0.003). The MEPS remained high throughout the follow-up period (final mean: 100). Patients operated on within 7 days from trauma had less residual pain (p=0.02). Smokers had worse functional scores at 6 months (p=0.04). Previous elbow pain was associated with worse pain score in the first week post op (p=0.048), but no difference in final outcomes.Conclusion: Surgery for triceps tendon rupture with olecranon osteophyte avulsion led to significant improvements in pain and function. Factors such as time to treatment, smoking, and age influence recovery. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e297570"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COMPARATIVE EVALUATION OF FIRST- AND ADAPTED SECOND-GENERATION BONE CEMENTATION IN POST-CURETTAGE BONE DEFECT FILLING IN AN ANIMAL MODEL. 在动物模型中比较评价第一代和适应的第二代骨水泥修复刮除后骨缺损。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e301195

Mateus de Vita Mendes Cruz, Nelson Fabrício Gava, Vitor Freire da Rocha, Cátia Isumi Miyase, Edgard Eduard Engel, Mariana Avelino Dos Santos

{"title":"COMPARATIVE EVALUATION OF FIRST- AND ADAPTED SECOND-GENERATION BONE CEMENTATION IN POST-CURETTAGE BONE DEFECT FILLING IN AN ANIMAL MODEL.","authors":"Mateus de Vita Mendes Cruz, Nelson Fabrício Gava, Vitor Freire da Rocha, Cátia Isumi Miyase, Edgard Eduard Engel, Mariana Avelino Dos Santos","doi":"10.1590/1413-785220263405e301195","DOIUrl":"10.1590/1413-785220263405e301195","url":null,"abstract":"Introduction: Bone cementation is fundamental for orthopedic stability, and different techniques have been proposed to optimize the bone-cement interface.Objective: To evaluate whether adapted second-generation cementation improves osteointegration compared with the first-generation technique.Methods: Bone defects created in the femora and tibiae of goats were filled with polymethylmethacrylate using either the first-generation technique (Group 1) or an adaptation of the second-generation technique (Group 2). Cementation quality and the bone-cement interface were assessed by radiography, CT, and photographic analysis, evaluated by orthopedic examiners. Statistical analyses employed the chi-square and Mann-Whitney U tests.Results: No statistical differences were observed between the groups regarding cementation quality (radiography and CT) or osteointegration (photographic analysis) (p > 0.05). On CT, the mean number of bubbles was higher in the second-generation (6.05 vs. 3.95), whereas the proportion of samples with ≥5 bubbles was higher in the first-generation (50% vs. 30%). Photographic analysis showed that the second-generation group had a higher mean number of interdigitations (2.4 vs. 1.6) and a greater frequency of rough interfaces (50% vs. 25%). However, the first-generation group presented greater interdigitation depth (0.40 mm vs. 0.35 mm).Conclusion: Adapted second-generation cementation showed no clear advantage over the first-generation technique. Level of evidence II; Investigation of treatment outcomes in an animal model.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e301195"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

NATIONAL INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS: A BIBLIOMETRIC STUDY. 国立创伤与骨科研究所：文献计量学研究。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263405e299789

Rebecca Fiorani de Oliveira Nascimento, João Antonio Matheus Guimarães, Patrícia Cristina Dos Santos Costa

{"title":"NATIONAL INSTITUTE OF TRAUMATOLOGY AND ORTHOPEDICS: A BIBLIOMETRIC STUDY.","authors":"Rebecca Fiorani de Oliveira Nascimento, João Antonio Matheus Guimarães, Patrícia Cristina Dos Santos Costa","doi":"10.1590/1413-785220263405e299789","DOIUrl":"10.1590/1413-785220263405e299789","url":null,"abstract":"Objective: This study aimed to map the scientific production of the National Institute of Traumatology and Orthopedics (INTO) over its 50 years of history.Methods: We conducted a descriptive bibliometric study in the PubMed, Scopus, and BVS databases, retrieving 522 articles published between 2007 and 2024. We identified the co-citation networks of INTO-affiliated authors, the keyword networks with the main topics addressed in the publications, and the institution's interaction network with other research and teaching entities.Results: There was a progressive growth in publications linked to INTO. In the last six years (2019-2024), the annual average number of publications increased by 44.83% compared with the previous period. The keywords with the highest co-occurrence were related to applied research, mainly with an epidemiological profile, but also to different study designs in basic and translational research.Conclusions: The analysis revealed a higher frequency of collaboration with public universities (UFRJ, UFF, UERJ, and USP). The institution's scientific production presented a well-articulated scientific collaboration network. Part of INTO's mission was evidenced through its work in public health research for health promotion in orthopedics and its contribution to the production of data for the formulation of public policies. Level of Evidence V; Descriptive Studies with Qualitative Approach.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 5","pages":"e299789"},"PeriodicalIF":0.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13461004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

VALIDATION OF AN OPTICAL METHOD FOR MEASURING THE GAP BETWEEN SUTURED TENDON STUMPS. 一种测量缝合肌腱残端间隙的光学方法的验证。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263404e301170

Luiz Sorrenti, Elcio Koodiro Yoshida, Antonio Isidoro de Sousa, César Augusto Martins Pereira, Hugo Alberto Nakamoto, Rames Mattar

{"title":"VALIDATION OF AN OPTICAL METHOD FOR MEASURING THE GAP BETWEEN SUTURED TENDON STUMPS.","authors":"Luiz Sorrenti, Elcio Koodiro Yoshida, Antonio Isidoro de Sousa, César Augusto Martins Pereira, Hugo Alberto Nakamoto, Rames Mattar","doi":"10.1590/1413-785220263404e301170","DOIUrl":"10.1590/1413-785220263404e301170","url":null,"abstract":"Objective: This study aims to investigate the accuracy and precision of an optical measurement method based on backlight video analysis for measuring gap distances between tendon stumps in a rigid tendon model.Methods: A rigid 3D-printed tendon model was sutured and subjected to traction using a universal mechanical testing machine. The gap between stumps was filmed in frontal and lateral planes with backlight illumination and a simple mirror system. A custom software program calculated gap distances from the recorded videos and the optical measurements were compared with mechanical testing machine measurements to assess precision and accuracy.Results: The mean difference (bias) in the frontal plane was -0.01 mm (SD: 0.01 mm) and in the lateral plane was 0.04 mm (SD: 0.03 mm). Bland-Altman analysis showed limits of agreement (LoA) of 0.04 mm in the frontal plane and 0.06 mm in the lateral plane. Measurements between planes showed a very strong correlation with a Spearman's rho correlation test of 1.000 (p<0.001).Conclusion: The optical method showed errors on the order of hundredths of a millimeter and proved to be both precise and accurate, validating a new method for gap measurement in biomechanical tendon studies. Level of Evidence IV; Experimental Validation Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 4","pages":"e301170"},"PeriodicalIF":0.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SCREW VS. SUTURE FIXATION FOR TIBIAL EMINENCE FRACTURES: A META-ANALYSIS. 螺钉与缝合固定治疗胫骨隆起骨折：荟萃分析。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263404e300987

Paulo Eduardo Dias Lavigne, Marcus Vinicius Ribeiro, Victor Mendes Ribeiro, Jessiel Gonçalves de Souza, Adriano Assis Nascimento, Eiffel Tsuyoshi Dobashi

{"title":"SCREW VS. SUTURE FIXATION FOR TIBIAL EMINENCE FRACTURES: A META-ANALYSIS.","authors":"Paulo Eduardo Dias Lavigne, Marcus Vinicius Ribeiro, Victor Mendes Ribeiro, Jessiel Gonçalves de Souza, Adriano Assis Nascimento, Eiffel Tsuyoshi Dobashi","doi":"10.1590/1413-785220263404e300987","DOIUrl":"10.1590/1413-785220263404e300987","url":null,"abstract":"Objectives: To compare functional and surgical outcomes between screw and suture fixation in pediatric tibial spine fractures.Materials and methods: This systematic review followed PRISMA guidelines and was registered in PROSPERO (CRD420251022233). Cohort studies comparing arthroscopic screw versus suture fixation were included. The primary outcome assessed was postoperative knee function.Results: Four retrospective cohort studies were included, totaling 186 patients. No significant differences were found in knee function (SMD = -0.07; p = 0.702). Operative time was significantly shorter in the screw group (MD = -9.17 minutes; p < 0.001). However, this group showed a significantly higher risk of reoperation (RR = 1.78; p = 0.040) and implant removal (RR = 6.25; p = 0.040). No differences were observed regarding joint instability (RR = 0.90; p = 0.770) or return to sport (RR = 1.83; p = 0.190). Funnel plot analysis suggested potential publication bias.Conclusion: Both techniques yielded similar postoperative functional outcomes. Screw fixation was associated with shorter operative time but higher complication rates. Level of evidence IIa; systematic review of cohort studies.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 4","pages":"e300987"},"PeriodicalIF":0.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RADIOFREQUENCY THERAPY IN PATIENTS WITH OSTEOARTHRITIS AWAITING KNEE ARTHROPLASTY. 等待膝关节置换术的骨关节炎患者的射频治疗。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263404e300122

Glaucus Cajaty Dos Santos Martins, Ingrid Carvalho Andrade, Alexandre Peixoto de Mello, Bruno Parilha Coutinho, Vinicius Schott Gameiro

{"title":"RADIOFREQUENCY THERAPY IN PATIENTS WITH OSTEOARTHRITIS AWAITING KNEE ARTHROPLASTY.","authors":"Glaucus Cajaty Dos Santos Martins, Ingrid Carvalho Andrade, Alexandre Peixoto de Mello, Bruno Parilha Coutinho, Vinicius Schott Gameiro","doi":"10.1590/1413-785220263404e300122","DOIUrl":"10.1590/1413-785220263404e300122","url":null,"abstract":"Objective: To evaluate the palliative use of conventional radiofrequency (RF) in patients awaiting total knee arthroplasty (TKA).Methods: Seventy-one knees with osteoarthritis and indication for TKA were evaluated and divided into two groups: Group 1 with 51 knees treated with RF and Group 2 with 20 patients treated with intra-articular corticosteroids. The primary outcome was pain response using the visual analog scale (VAS) at six months postoperatively. The secondary outcome was functional assessment using the WOMAC and KSS scales. The MCID (minimal clinically important difference) criterion was used. The influence of clinical and radiographic parameters on the procedural outcome was evaluated.Results: The RF group showed improvement in VAS at 6 months compared to the control group (χ2 test, p=0.0124). The RF group obtained a superior result than the control group using the WOMAC scale (χ2 test, p=0.044). The KSS, divided into knee and function subgroups, performed better than the control group (p=0.02 and p=0.048). Knee angulation and degree of osteoarthritis were associated with procedural prognosis (χ2 test, p=0.028, p=0.019).Conclusion: The RF group showed superior pain and functional improvements compared to the control group. Osteoarthritis severity and knee angulation influenced functional and pain outcomes. Level of Evidence II; Comparative Prospective Study.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 4","pages":"e300122"},"PeriodicalIF":0.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148586053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ANTHROPOMETRIC CORRELATION OF HAMSTRING AND PERONEUS LONGUS GRAFTS IN ACL RECONSTRUCTION. 前交叉韧带重建中腘绳肌和腓骨长肌移植物的人体测量学相关性。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263404e300989

Izabela Feres de Oliveira, Matheus Kuster Ronconi, Gabriel Velasque Dos Santos Midão, Fabrício Nascimento de Almeida, Gustavo Dalla Bernardina de Almeida, Saulo Gomes de Oliveira

{"title":"ANTHROPOMETRIC CORRELATION OF HAMSTRING AND PERONEUS LONGUS GRAFTS IN ACL RECONSTRUCTION.","authors":"Izabela Feres de Oliveira, Matheus Kuster Ronconi, Gabriel Velasque Dos Santos Midão, Fabrício Nascimento de Almeida, Gustavo Dalla Bernardina de Almeida, Saulo Gomes de Oliveira","doi":"10.1590/1413-785220263404e300989","DOIUrl":"10.1590/1413-785220263404e300989","url":null,"abstract":"This study aimed to analyze the association between anthropometric data of patients with anterior cruciate ligament injuries and the characteristics of the grafts used in ligament reconstruction. This analytical study involved 30 patients randomly assigned to two groups: Group I, flexor tendon grafts (semitendinosus and gracilis), and Group II, peroneus longus tendon grafts. Graft length and diameter were measured, as well as preoperative anthropometric variables such as age, height, and weight. Student's t-test, chi-square test, and Pearson's correlation test were used. The results showed significantly greater length for the flexor tendon grafts (28.8 ± 2.66 vs. 25.8 ± 3.19 cm), while the peroneus longus tendon exhibited a greater final diameter (9.33 ± 0.82 vs. 8.47 ± 0.52 cm), both with p < 0.05. A negative correlation was observed between age and the length of the peroneus longus graft, and a positive correlation between height and the same parameter. Anthropometric data were not shown to be reliable predictors for the flexor grafts, although younger and taller patients were more likely to have a greater length in the peroneus longus graft. Level of Evidence I; Prognostic study - investigation of the effect of a patient's characteristics on disease outcome.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 4","pages":"e300989"},"PeriodicalIF":0.6,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148586131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

COMPARATIVE ANALYSIS OF OUTCOMES OF OPEN OR ENDOSCOPIC SPINAL CORD DECOMPRESSION: INTEGRATIVE LITERATURE REVIEW. 开放式或内窥镜下脊髓减压效果的比较分析：综合文献综述。

IF 0.6 4区医学

Acta Ortopedica Brasileira Pub Date : 2026-07-17 eCollection Date: 2026-01-01 DOI: 10.1590/1413-785220263404e300681

Victor Lima Dantas, Rafael Quixabeira Bezerra de Araújo, Taynan Siqueira Massaro, Abraão Lucas Dias Clerot Muniz Paiva

{"title":"COMPARATIVE ANALYSIS OF OUTCOMES OF OPEN OR ENDOSCOPIC SPINAL CORD DECOMPRESSION: INTEGRATIVE LITERATURE REVIEW.","authors":"Victor Lima Dantas, Rafael Quixabeira Bezerra de Araújo, Taynan Siqueira Massaro, Abraão Lucas Dias Clerot Muniz Paiva","doi":"10.1590/1413-785220263404e300681","DOIUrl":"10.1590/1413-785220263404e300681","url":null,"abstract":"Introduction: Spinal cord compression is a neurological condition caused by pressure on the spinal cord, with etiologies including degenerative, neoplastic, infectious, traumatic, and malformative causes. It primarily affects the elderly, with symptoms ranging from pain and sensory-motor deficits to paralysis. The diagnosis is based on clinical evaluation and magnetic resonance imaging. Surgical treatment includes traditional open decompression and the endoscopic technique, the latter involving less trauma and quicker recovery.Objective: To review and compare the outcomes of spinal cord decompression via open and endoscopic approaches.Method: A search in the PUBMED database with the strategy: (decompre*[title] OR lamin*[title] OR discec*[title] OR micro*[title]) AND ((endosc*[title] OR minima*[title] OR percut*[title]) AND (open*[title] OR traditional[title])), with a 10-year time frame.Results: 22 studies were identified; after reviewing titles and abstracts, 11 were excluded, leaving 11 articles that formed the sample.Conclusion: Minimally invasive techniques showed clinical efficacy comparable to open approaches in the treatment of lumbar disc herniation and lumbar spinal stenosis, with advantages in perioperative parameters. Variations in outcomes related to pain, function, complications, and reoperations suggest that the choice of technique should be individualized, considering the clinical presentation, the complexity of the lesion, and surgical expertise. Level of evidence II; review article.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 4","pages":"e300681"},"PeriodicalIF":0.6,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13378651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0