Lumbosacral Fusion(腰骶融合)研究综述
Lumbosacral Fusion 腰骶融合 - OBJECTIVE To evaluate the prevalence of pseudarthrosis following ATP lumbar and lumbosacral fusions. [1] Focusing only on lumbosacral fusion, the comparative studies of different approaches remain fewer in numbers. [2] The aim of the present study was to investigate radiological outcomes using the PES technique for lumbosacral fusion by comparing it with the anterior bicortical technique. [3] In this large, single-center series of adult patients, iliac screws were an effective method of spinopelvic fixation that had high rates of lumbosacral fusion and far lower complication rates than previously reported. [4] 4) and procedure codes for primary thoracolumbar/lumbosacral fusion (81. [5] Furthermore, several studies have determined that lumbar/lumbosacral fusion is associated with the development of sacroiliac joint dysfunction (3-5). [6] Background Sacral fractures and failures are uncommon after lumbosacral fusion but have received increasing attention in the surgical literature. [7] Clinical studies suggest that SIJ degeneration occurs in the setting of lumbosacral fusions. [8] The sacroiliac joint (SIJ) is a possible source of persistent or new onset pain after lumbar or lumbosacral fusion. [9] Patients with a history of lumbosacral spine pathology (eg, lumbosacral fusion, disc or vertebral pathology, or history of lumbosacral fractures) were matched 1:2 by age, body mass index, and sex to patients without spine pathology. [10] Results: One hundred and thirty-one patients were treated with posterior instrumented thoracic or lumbosacral fusions using IV cefazolin and adjuvant 2 g of intrawound vancomycin powder. [11] Clinical experience suggests degeneration of the sacroiliac joint in the setting of lumbosacral fusions. [12]客观的 评估 ATP 腰椎和腰骶融合术后假关节的患病率。 [1] 仅关注腰骶融合，不同入路的比较研究仍然较少。 [2] 本研究的目的是通过将 PES 技术与前双皮质技术进行比较来研究使用 PES 技术进行腰骶融合的放射学结果。 [3] 在这个大型、单中心的成人患者系列中，髂骨螺钉是一种有效的脊柱骨盆固定方法，其腰骶融合率高，并发症发生率远低于先前报道的。 [4] 4) 和原发性胸腰椎/腰骶融合术的程序代码 (81. [5] 此外，一些研究已经确定腰椎/腰骶融合与骶髂关节功能障碍的发展有关 (3-5)。 [6] 背景 腰骶融合后骶骨骨折和失败并不常见，但在外科文献中受到越来越多的关注。 [7] 临床研究表明，SIJ 变性发生在腰骶融合的情况下。 [8] 骶髂关节 (SIJ) 可能是腰椎或腰骶融合后持续性或新发疼痛的来源。 [9] 有腰骶部脊柱病变病史（例如，腰骶部融合、椎间盘或椎体病变，或腰骶部骨折病史）的患者按年龄、体重指数和性别与无脊柱病变的患者按 1:2 匹配。 [10] 结果：131 名患者接受了后路器械胸椎或腰骶融合术，使用 IV 头孢唑林和 2 g 伤口内万古霉素粉作为佐剂。 [11] 临床经验表明在腰骶融合情况下骶髂关节退化。 [12]