不稳定脊柱骨折的临时稳定
Temporary stabilization of unstable spine fractures.
作者信息
Danison Aaron P, Lee Darrin J, Panchal Ripul R
机构信息
Department of Neurological Surgery, Davis Medical Center, University of California, 4860 Y Street, Suite 3740, Sacramento, CA, 95817, USA.
出版信息
Curr Rev Musculoskelet Med. 2017 Jun;10(2):199-206. doi: 10.1007/s12178-017-9402-y.
PURPOSE OF REVIEW
We will review the recent literature concerning the necessity of supplemental fusion to spinal instrumentation and discuss if temporal spinal fixation is a viable option for the treatment of unstable spine fractures. Advancements in minimally invasive techniques offer an alternative approach to traditional open stabilization for unstable spine fractures. The use of minimally invasive surgery offers many advantages concerning operative morbidly; fusion is not utilized and instrumentation can be removed in a delayed fashion.
RECENT FINDINGS
There are limited differences in amount of correction loss over time, and multiple studies report equivocal to superior results in patient's functional outcomes when comparing temporary internal stabilization to long segment instrumentation with fusion. Removal of implants can restore segmental motion. Review of the literature demonstrates that temporary internal stabilization for unstable fractures is a viable option. Close clinical and radiographic follow-up is recommended to avoid delayed spinal deformity.
综述目的
我们将回顾近期有关脊柱内固定补充融合必要性的文献，并讨论临时脊柱固定是否是治疗不稳定脊柱骨折的可行选择。微创技术的进步为不稳定脊柱骨折的传统开放稳定治疗提供了替代方法。微创手术的应用在手术并发症方面具有许多优势；无需进行融合，且内固定可延迟取出。
近期研究结果
随着时间推移，矫正丢失量的差异有限，多项研究报告称，将临时内固定与长节段融合内固定相比，患者功能结局的结果不明确或更优。取出植入物可恢复节段活动度。文献综述表明，不稳定骨折的临时内固定是一种可行选择。建议密切进行临床和影像学随访，以避免延迟性脊柱畸形。
Zotero 插件