成人脊柱畸形手术后头髋关节偏移临床影响的叙述性综述。

IF 1.4 4区 医学 Q4 CLINICAL NEUROLOGY
Journal of Korean Neurosurgical Society Pub Date : 2024-03-01 Epub Date: 2023-09-27 DOI:10.3340/jkns.2023.0168
Sunho Kim, Seung-Jae Hyun, Jae-Koo Lee, Ki-Jeong Kim
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引用次数: 0

摘要

在成人脊柱畸形(ASD)手术中,机械故障(MF)一直是脊柱外科医生和患者关注的问题。尽管认真努力防止MF,但由于与这种复杂性相关的多种因素的复杂相互作用,仍然缺乏最终的共识。以前以全局脊柱对齐为中心的方法在完全预防MF方面取得了有限的成功。这些方法虽然有价值,但由于忽视了将全局平衡和补偿机制纳入其范围而表现出局限性。针对这一关切,迫切需要深入了解全球平衡和补偿机制。在这篇文章中,重心和重心线在最近关于全球平衡的研究中越来越受到关注。这篇叙述性综述旨在概述全球平衡,并全面了解相关概念和知识。此外,它深入研究了当代最佳矫正范式的临床后果,以提供对ASD手术背景下的全球平衡和当前最佳矫正策略的全面理解。通过这样做,它努力为脊柱外科医生提供一个指导指南针,丰富他们在ASD手术干预的复杂地形中的决策过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Narrative Review of Clinical Impact of Head-Hip Offset Following Adult Spinal Deformity Surgery.

In adult spinal deformity (ASD) surgery, mechanical failure (MF) has been a significant concern for spine surgeons as well as patients. Despite earnest endeavors to prevent MF, the absence of a definitive consensus persists, owing to the intricate interplay of multifarious factors associated with this complication. Previous approaches centered around global spinal alignment have yielded limited success in entirely forestalling MF. These methodologies, albeit valuable, exhibited limitations by neglecting to encompass global balance and compensatory mechanisms within their purview. In response to this concern, an in-depth comprehension of global balance and compensatory mechanisms emerges as imperative. In this discourse, the center of gravity and the gravity line are gaining attention in recent investigations pertaining to global balance. This narrative review aims to provide an overview of the global balance and a comprehensive understanding of related concepts and knowledge. Moreover, it delves into the clinical ramifications of the contemporary optimal correction paradigm to furnish an encompassing understanding of global balance and the current optimal correction strategies within the context of ASD surgery. By doing so, it endeavors to furnish spine surgeons with a guiding compass, enriching their decision-making process as they navigate the intricate terrain of ASD surgical interventions.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
109
审稿时长
3-8 weeks
期刊介绍: The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.
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