高度腰椎脱位手术中的拉玛蒂纳方和严重程度指数

Q4 Medicine
J. A. A. Oliveira, V. T. G. Silva, Antônio Eulálio Pedrosa Araújo Junior, Luis Antonio Medeiros Moliterno, P. C. Almeida, L. Silva, R. Meireles
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引用次数: 0

摘要

目的:评价骶盆腔主位测量与骨盆后倾复位的相关性,评估拉玛蒂娜方在选择近端内固定水平时的有效性。方法:2004年1月至2016年12月,21例高度L5 -S1椎体滑脱患者行固定术。记录患者术前及末次随访时的人口学资料、手术类型、并发症、矢状面排列参数、严重程度指数和拉马蒂娜广场。配对数据采用SPSS 22.0软件处理,采用不同方法,采用Student’s t检验。根据Spearman系数进行线性相关分析。术后最后一次随访p100°)。滑移率(以及L4和L5严重指数)显著降低,这突出了与骨盆倾斜、失配和滑移角的强相关性。Dubousset腰骶后凸角与骶骨坡度呈显著负相关。结论:L5严重指数和Lamartina Square是高度腰椎滑脱患者术前规划的重要变量。证据水平IV;病例系列。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
THE LAMARTINA SQUARE AND SEVERITY INDEX IN SURGERY FOR HIGH-GRADE LUMBAR LISTHESIS
ABSTRACT Objective: evaluate the correlation between main sacropelvic alignment measurements and pelvic retroversion reduction and assessing Lamartina Square effectiveness in choosing the proximal instrumentation level. Methods: sample comprising 21 patients with high-grade L5 -S1 spondylolisthesis subjected to arthrodesis with instrumentation from January 2004 to December 2016. Patients’ demographic data, surgery type, complications, sagittal alignment parameters, Severity Index and Lamartina Square were recorded before surgery and in the last follow-up. Data processed in SPSS 22.0, with different means were calculated through Student’s t test, for paired data. Linear correlation analysis was performed based on Spearman’s coefficient. P <0.05 was statically significant. Results: there was significant improvement in the slip and Dubousset’s lumbosacral kyphosis angles (> 100° in the last postoperative follow-up). There was significant reduction of slip rate ( and in the L4 and L5 Severity Index, which highlighted strong correlation to pelvic tilt, mismatch and slip angle. Severity index also showed strong inverse correlation between Dubousset’s lumbosacral kyphosis angle and sacral slope. Conclusion: L5 Severity Index and Lamartina Square are important variables for preoperative planning of patients with high-grade lumbar spondylolisthesis. Level of Evidence IV; Case Series.
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来源期刊
Coluna/ Columna
Coluna/ Columna Medicine-Surgery
CiteScore
0.40
自引率
0.00%
发文量
32
审稿时长
10 weeks
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