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首页> 外文期刊>Coluna/Columna >ANáLISE DOS RESULTADOS PóS-OPERATóRIOS DO DEGENERADOR DA JUN??O LOMBOSSACRALANáLISIS DE LOS RESULTADOS POSTOPERATORIOS DE LAS ENFERMEDADES DEGENERATIVAS DE LA UNIóN LUMBOSACRA
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ANáLISE DOS RESULTADOS PóS-OPERATóRIOS DO DEGENERADOR DA JUN??O LOMBOSSACRALANáLISIS DE LOS RESULTADOS POSTOPERATORIOS DE LAS ENFERMEDADES DEGENERATIVAS DE LA UNIóN LUMBOSACRA

机译：变性人DA JUN – O腰椎手术后两个结果分析腰椎间盘退行性疾病手术后结果分析

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摘要

Objective: The article presents an analysis of the clinical efficacy and causes of unsatisfactory outcomes of surgical treatment in patients with degenerative diseases of the lumbosacral junction of the spine. Methods: Patients were allocated to one of three groups, depending on the method of surgical intervention on the lumbosacral junction: 1) (n=352) - operated by the method of microsurgical discectomy; 2) (n=83) - operated with the use of artificial IVD prostheses; 3) (n = 183) - operated with the use of interbody fusion and posterior rigid stabilization. To investigate the causes of unsatisfactory outcomes, a correlation analysis was conducted of long-term clinical outcomes with preoperative instrumental parameters in the operated segment, surgical tactics used, and the development of complications. Results: It is determined that long-term “good” clinical outcomes are associated with individual preoperative parameters of the lumbosacral junction of the spine - linear displacement, sagittal angulation, height of the interbody space, degree of IVD degeneration by ADC. Conclusion: In degenerative diseases of the lumbosacral junction of the spine, the detailed analysis of long-term clinical outcomes enable the identification of the causes that affect the development of unsatisfactory outcomes, which are individual morphostructural changes in the lower lumbar segment: the amplitude of the segmental angle, the angle of the lumbar lordosis, the degree of linear displacement of the vertebrae, the height of the interbody space, and ADC. Complex clinical and instrumental analysis enabled us to determine possible surgical tactics. Level of Evidence II; Prognostic Studies — Investigating the Effect of a Patient Characteristic on the Disease Outcome.
机译：目的：对脊柱腰部退行性疾病患者的临床疗效和手术治疗结果不满意的原因进行分析。方法：根据腰intervention交界处的手术干预方法，将患者分为三组之一：1）（n = 352）-通过显微外科椎间盘切除术进行手术; 2）（n = 83）-使用人工IVD假体进行手术; 3）（n = 183）-通过椎间融合和后路刚性稳定进行操作。为了调查结果不令人满意的原因，对长期临床结果与术前术中手术参数，手术策略以及并发症的发生情况进行了相关分析。结果：确定长期的“良好”临床结果与脊柱腰junction连接处的各个术前参数相关联-线性位移，矢状角，椎体间隙高度，ADC引起的IVD退化程度。结论：在脊柱腰s关节退行性疾病中，对长期临床结局的详细分析能够确定影响不良结局发展的原因，这些原因是下腰段的个别形态结构变化：节段角，腰椎前凸角度，椎骨的线性移位程度，椎体间高度和ADC。复杂的临床和仪器分析使我们能够确定可能的手术策略。证据等级II;预后研究—研究患者特征对疾病结果的影响。

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