PDF(Pubmed)
Abstract：
UNASSIGNED: Benefit of implant removal in spine surgery remains unclear. While there is mostly consensus about necessity of implant removal in posterior-only stabilized patients, the effect of this measure in cases with combined anterior-posterior stabilization is undetermined. With this work we present a retrospective analysis of 87 patients with traumatic thoracolumbar vertebral fractures concerning quality of life (QOL), loss of correction (LOC) and range of motion (ROM). The effect of implant removal on the outcome 18-74 months after surgery was analyzed to determine how implant removal affects radiologic, functional and quality-of life-related parameters.
UNASSIGNED: 87 patients suffering from a traumatic vertebral body fracture (T11 - L2) were included. Quality of life was determined using four different scoring systems (SF 36, VAS, Oswestry, LBOS). Clinical examination included range of motion. Radiologic findings were correlated with QOL.
UNASSIGNED: Patients with removal of the internal fixator had a trend towards better range of motion than patients with posterior instrumentation left in place. Radiologic findings showed no correlation to QOL. Implant removal led to better values in Oswestry and SF-36. 69% of patients after removal reported a reduction of their symptoms.All patients with persistence of severe pain after implant removal belonged to subgroup II.2 (anterior monosegmental fusion with bone graft).
UNASSIGNED: Removal of the internal fixator can lead to a reduction of symptoms. Patient selection is crucial for successful indication. Radiologic findings do not correlate with QOL.
UNASSIGNED: 87 patients suffering from a traumatic vertebral body fracture (T11 - L2) were included. Quality of life was determined using four different scoring systems (SF 36, VAS, Oswestry, LBOS). Clinical examination included range of motion. Radiologic findings were correlated with QOL.
UNASSIGNED: Patients with removal of the internal fixator had a trend towards better range of motion than patients with posterior instrumentation left in place. Radiologic findings showed no correlation to QOL. Implant removal led to better values in Oswestry and SF-36. 69% of patients after removal reported a reduction of their symptoms.All patients with persistence of severe pain after implant removal belonged to subgroup II.2 (anterior monosegmental fusion with bone graft).
UNASSIGNED: Removal of the internal fixator can lead to a reduction of symptoms. Patient selection is crucial for successful indication. Radiologic findings do not correlate with QOL.
摘要：
■脊柱手术中移除植入物的益处尚不清楚。尽管对于仅在后部稳定的患者中移除植入物的必要性存在大多数共识，在前后联合稳定的情况下，该措施的效果尚不确定。通过这项工作，我们对87例创伤性胸腰椎椎体骨折患者的生活质量（QOL）进行了回顾性分析。校正损失(LOC)和运动范围(ROM)。分析植入物移除对术后18-74个月结果的影响，以确定植入物移除如何影响放射学，功能和生活质量相关参数。
■包括87例患有创伤性椎体骨折（T11-L2）的患者。使用四种不同的评分系统确定生活质量(SF36，VAS，Oswestry,LBOS)。临床检查包括活动范围。放射学检查结果与生活质量相关。
■移除内固定器的患者比保留后部器械的患者具有更好的运动范围的趋势。放射学检查结果显示与生活质量无相关性。去除植入物在Oswestry和SF-36中产生了更好的价值。69%的患者在切除后报告症状减轻。摘除植入物后持续剧烈疼痛的所有患者均属于II.2亚组（前单节融合植骨）。
■去除内固定器可以减轻症状。患者的选择对于成功的适应症至关重要。放射学检查结果与生活质量无关。
■包括87例患有创伤性椎体骨折（T11-L2）的患者。使用四种不同的评分系统确定生活质量(SF36，VAS，Oswestry,LBOS)。临床检查包括活动范围。放射学检查结果与生活质量相关。
■移除内固定器的患者比保留后部器械的患者具有更好的运动范围的趋势。放射学检查结果显示与生活质量无相关性。去除植入物在Oswestry和SF-36中产生了更好的价值。69%的患者在切除后报告症状减轻。摘除植入物后持续剧烈疼痛的所有患者均属于II.2亚组（前单节融合植骨）。
■去除内固定器可以减轻症状。患者的选择对于成功的适应症至关重要。放射学检查结果与生活质量无关。
