CAJ | 학술논문

目的评价在对合并有帕金森病的患者进行脊柱后路手术的疗效及并发症.方法对1998年1月至2006年12月期间进行脊柱手术的帕金森病患者的资料进行分析.对部分未按照医生要求进行随访的邀请随访.其余的对他们的随访资料进行分析.重点分析并发症、翻修手术及手术失败原因.结果共有25例获得随访的做后路脊柱手术的帕金森病患者.平均随访时间56.3个月(18～126个月).25例中有5例后来没有再次做手术.20例再次做了至少1次手术,共25次手术.其中3例再次手术与原来的手术无关,1例原来颈椎手术后腰椎出现病变再次手术.2例腰椎手术后远节段病变再次手术.其余17例再次手术是因为手术节段或邻近的节段出现不稳定.原因有椎体滑脱、渐进性脊柱后凸畸形、脊柱侧弯、假关节形成、内固定松动脱出.结论合并有帕金森病的患者开展脊柱手术往往由于技术及患者本身的并发症而具有很高的再手术发生率.所以在术前要让患者清楚认识到这种危险性并重视术后的随访.
목적 평개재대합병유파금삼병적환자진행척주후로수술적료효급병발증.방법 대1998년1월지2006년12월기간진행척주수술적파금삼병환자적자료진행분석.대부분미안조의생요구진행수방적요청수방.기여적대타문적수방자료진행분석.중점분석병발증、번수수술급수술실패원인.결과 공유25례획득수방적주후로척주수술적파금삼병환자.평균수방시간56.3개월(18～126개월).25례중유5례후래몰유재차주수술.20례재차주료지소1차수술,공25차수술.기중3례재차수술여원래적수술무관,1례원래경추수술후요추출현병변재차수술.2례요추수술후원절단병변재차수술.기여17례재차수술시인위수술절단혹린근적절단출현불은정.원인유추체활탈、점진성척주후철기형、척주측만、가관절형성、내고정송동탈출.결론 합병유파금삼병적환자개전척주수술왕왕유우기술급환자본신적병발증이구유흔고적재수술발생솔.소이재술전요양환자청초인식도저충위험성병중시술후적수방.
Objective To assess the rate of complications of spine surgery and the therapeutic efficacy in the patients with Parkinson's disease (PD) and characterize the special needs of this unique population. Methods The data of 25 PD patients undergoing the spinal surgery from January 1998 to December 2006 were analyzed. The patients not followed on a regular basis by their spine surgeons were invited for a follow-up review. The points of analysis were complications, revisions and reasons of surgery failure. Results The mean follow-up period was 56. 3 months. Of 25 patients, 20 (80%) required additional surgery for a total of 25 reoperations. Three patients in need of additional surgery underwent another operation at a remote spinal segment. And 17 patients had the reoperations because of segmental instability at the operated or adjacent levels. Conclusion The PD patients undergoing spine surgery have a high reoperation rate associated with technical complications. They should be appropriately counseled regarding an increased risk of operative complications. A closely follow-up is essential.