采用Adeolu技术后路脊柱稳定的长期临床结果:尼日利亚的一项前瞻性研究。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
T B Rabiu
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引用次数: 0

摘要

背景:由于资源限制,我们中心没有先进的脊柱稳定方法,如椎弓根螺钉。Adeolu的技术采用低成本且易于获得的垂直支柱和脊柱过程钢丝,已被用作治疗各种脊柱疾病的辅助手段,以实现刚性脊柱结构。本研究评估了该技术的长期临床效果。方法:对19例经Adeolu技术治疗的患者进行前瞻性随访,评价临床疗效。主要结局包括症状减轻,无不良事件或需要再次干预,影像学证据显示稳定和无限制活动。次要结局包括背部疼痛强度、种植体相关并发症(旋转、移位、反出、骨折)、伤口感染、神经系统状况恶化以及是否需要取出种植体。结果:平均随访4.1年(0.1 ~ 9.0年)。患者年龄20 ~ 81岁(平均48.5岁)。手术指征包括腰椎病(7.36.8%)、脊柱外伤合并不稳定骨折(4.21.1%)、脊柱肿瘤(4.21.1%)和波特病(4.21.1%)。所有患者均获得满意的初步结果。4例患者(21.1%)观察到种植体旋转,1例患者(5.3%)观察到种植体移动,需要移除。手术部位浅表感染2例(10.5%)。未发现植入物骨折、深部感染或神经系统状况恶化。结论:Adeolu技术对一系列脊柱病变有效,具有良好的长期临床效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-term Clinical Outcomes of Posterior Spinal Stabilization Using Adeolu's Technique: A Prospective Study from Nigeria.

Background: Due to resource constraints, advanced spinal stabilization methods such as pedicle screws are unavailable at our center. Adeolu's technique, which employs low-cost and readily available vertical struts and spinal process wires, has been used as an adjunct in treating various spinal conditions to achieve rigid spinal constructs. This study evaluates the long-term clinical outcomes of this technique.

Methods: Nineteen patients treated with Adeolu's technique were prospectively followed to assess clinical outcomes. Primary outcomes included symptom reduction, absence of adverse events or need for re-intervention, and radiological evidence of stabilization and unrestricted mobilization. Secondary outcomes included back pain intensity, implant-related complications (rotation, migration, back-out, fracture), wound infection, worsening neurological status, and need for implant removal Data were analyzed using SPSS with simple descriptive statistics.

Results: The average follow-up period was 4.1 years (Range: 0.1 - 9.0 years). Patients' ages ranged from 20 to 81 years (Mean: 48.5). Indications for surgery included lumbar spondylosis (7, 36.8%), spinal trauma with unstable fractures (4, 21.1%), spinal tumors (4, 21.1%), and Pott's disease (4, 21.1%). All patients achieved satisfactory primary outcomes. Implant rotation was observed in 4 patients (21.1%), and implant migration in 1 patient (5.3%), requiring removal. Superficial surgical site infection occurred in 2 patients (10.5%). No implant fractures, deep infections, or worsening neurological status were noted.

Conclusion: Adeolu's technique is effective for a range of spinal pathologies, with favorable long-term clinical outcomes.

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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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