矫正椎体切开术后强直性脊柱炎Andersson病变的长期外科治疗(临床观察)

V. Rerikh, E. V. Dubinin
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引用次数: 1

摘要

通过一个临床例子,作者设定了一个目标,阐明在一期矫正无固定的强直脊柱屈曲畸形后长期进行An- derson病变的两期手术治疗的结果。结果。在所有先前确定的椎节中,没有发现安德森病变的进展。ODI (Oswestry Disability Index)、VAS和FIM (Functional Independence Measure)分别为术前67、6和82,术后3年分别为10、0和126。结论。在本病例中,考虑到矢状面平衡参数,通过稳定腹侧柱和背侧柱以及减压,对畸形进行手术矫正,可以防止Andersson病变的进展,实现神经症状的恢复,并提高患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)
Using a clinical example, the authors set the goal of elucidating the result of a two-stage surgical treatment of An- derson’s lesion, carried out in the long-term period after a one-stage correction of flexion deformity of the ankylosed spine without fixation. Results. The analysis of the results of treatment three years after decompression-corrective stabilizing surgery performed for Anderson’s lesion at the Th X –Th XI level, which developed 10 years after the correction of flexion deformity of the ankylosed spine by “open” vertebrotomy L IV –L V . No progression of Anderson’s lesion in all previously identified vertebral segments was noted. The existing neurological deficit regressed from ASIA C to ASIA E. Normalization of the SVA sagittal balance parameter was revealed, with preserved local kyphosis at the Th X –Th XI level of 15° (initial – 30°). The indicator ODI (Oswestry Disability Index), VAS and FIM (Functional Independence Measure) were, respectively, before surgery 67, 6 and 82, 3 years after surgery – 10, 0 and 126. Conclusion. In the presented case, the surgical correction of the deformity, carried out taking into account the param-eters of the sagittal balance, with the stabilization of the ventral and dorsal columns, and decompression, made it possible to prevent the progression of Andersson’s lesion, achieve regression of neurological symptoms, and improve the patient’s quality of life.
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