Papanastasiou Constantine, Ouellet Jean A, Lessard Lucie
Department of Surgery, Division of Plastic Surgery, McGill University Health Centre (MUHC), Montreal, Quebec, Canada.
Department of Orthopedic Surgery, Spine Surgery, McGill University Health Centre (MUHC), Montreal, Quebec, Canada.
Plast Reconstr Surg Glob Open. 2019 Aug 12;7(8):e2324. doi: 10.1097/GOX.0000000000002324. eCollection 2019 Aug.
The aim of this review article was to synthesize the literature on reduction mammaplasty and its effects on the spine. The particular focus was to find these few radiological studies and those investigating changes in spinal angles, posture, center of gravity, and back pain reduction.
We performed a thorough review of the literature, searching the Medline database for all relevant published data studying reduction mammaplasty and the spine. The search yielded 107 articles of which 11 articles met our specific inclusion criteria. The primary outcome measures of the studies and their respective results were tabulated, contrasted, and compared.
The 11 cohort studies included in this review cover the period from 2005 to 2015 and focus on breast hypertrophy and spine. According to these 11 quantitative studies, breast hypertrophy causes objective, quantitative, measurable disturbances to women living with this condition. Reduction mammaplasty produces an unmistakable improvement in signs, symptoms, and quantifiable measures. Although the majority of included articles in this review described postoperative improvement in spinal angles, there remain discrepancies of results between them.
The studies included in this review did offer a promising glimpse into the complex interaction between breast hypertrophy and the spine. However, future research initiatives can improve upon what these investigators have begun with more refined, objective, radiological evidence. More specifically, we aim to clarify some of the basic hypotheses in our center with the use of EOS.
这篇综述文章的目的是综合关于缩乳术及其对脊柱影响的文献。特别关注的是找到为数不多的放射学研究以及那些调查脊柱角度、姿势、重心和背痛减轻情况变化的研究。
我们对文献进行了全面综述，在Medline数据库中搜索所有研究缩乳术与脊柱的相关已发表数据。搜索结果有107篇文章，其中11篇符合我们的特定纳入标准。对这些研究的主要结局指标及其各自结果进行了列表、对比和比较。
本综述纳入的11项队列研究涵盖2005年至2015年期间，重点关注乳腺肥大与脊柱。根据这11项定量研究，乳腺肥大对患有这种疾病的女性造成了客观、定量、可测量的干扰。缩乳术在体征、症状和可量化指标方面产生了明显改善。尽管本综述中纳入的大多数文章描述了术后脊柱角度的改善，但它们之间的结果仍存在差异。
本综述纳入的研究确实为乳腺肥大与脊柱之间的复杂相互作用提供了有前景的见解。然而，未来的研究计划可以在这些研究者已开展的工作基础上进行改进，提供更精确、客观的放射学证据。更具体地说，我们旨在利用EOS在我们中心阐明一些基本假设。
