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现代脊柱手术中的近端交界性后凸:为何如此常见?

Proximal Junctional Kyphosis in Modern Spine Surgery: Why Is it So Common?

作者信息

Dubousset Jean, Diebo Bassel G

机构信息

Académie Nationale de Médecine, Paris, France.

Department of Orthopaedic Surgery, State University of New York, Downstate Medical Center, Brooklyn, United States.

出版信息

Spine Surg Relat Res. 2022 Jun 28;7(2):120-128. doi: 10.22603/ssrr.2022-0100. eCollection 2023 Mar 27.

DOI:10.22603/ssrr.2022-0100
PMID:37041876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10083082/
Abstract

In the past few decades, proximal junctional kyphosis (PJK) has emerged as a new complication after instrumented spinal fusion in adult and pediatric spinal deformities. This phenomenon has occurred concomitantly with the rise of robust instrumentation techniques and enhancement of our abilities to obtain greater spinal deformity correction. The goal of this paper is to review the mechanical and biological causes of PJK and recommend prevention strategies.

摘要

在过去几十年中,近端交界性后凸(PJK)已成为成人和儿童脊柱畸形行器械辅助脊柱融合术后出现的一种新并发症。这种现象与强大的器械技术的兴起以及我们获得更大脊柱畸形矫正能力的提高同时出现。本文的目的是回顾近端交界性后凸的力学和生物学原因,并推荐预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/18d4724342d3/2432-261X-7-0120-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/c7cef2909f08/2432-261X-7-0120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/2e17f20736cf/2432-261X-7-0120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/fc15be9b3753/2432-261X-7-0120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/66bff2ef3a9f/2432-261X-7-0120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/18d4724342d3/2432-261X-7-0120-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/c7cef2909f08/2432-261X-7-0120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/2e17f20736cf/2432-261X-7-0120-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/fc15be9b3753/2432-261X-7-0120-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/66bff2ef3a9f/2432-261X-7-0120-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57ce/10083082/18d4724342d3/2432-261X-7-0120-g005.jpg

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本文引用的文献

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-Historical Perspective and Proof of Concept.-历史视角与概念验证。
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The Hybrid Open Muscle-Sparing Approach in Adult Spinal Deformity Patients Undergoing Lower Thoracic Fusion to the Pelvis.成人脊柱畸形患者下胸椎至骨盆融合术中的混合开放式保留肌肉入路
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Osteoporosis and Spine Surgery: A Critical Analysis Review.骨质疏松症与脊柱外科:批判性分析综述。
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杜布塞功能性测试在胸椎后凸患者中的心理测量学特性。
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