对脊髓力学的当代见解。

IF 4.9 1区 医学 Q1 ORTHOPEDICS Bone & Joint Journal Pub Date : 2024-11-01 DOI:10.1302/0301-620X.106B11.BJJ-2024-0373
Andreas Fontalis, Daniel Buchalter, Fabio Mancino, Tony Shen, Peter K Sculco, David Mayman, Fares S Haddad, Jonathan Vigdorchik
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引用次数: 0

摘要

了解脊柱骨盆力学对全髋关节置换术(THA)的成功非常重要。尽管在了解脊柱骨盆平衡方面取得了重大进展,但仍然存在许多挑战。认识脊柱骨盆参数的个体差异和术后变化及其对假体组件定位的影响至关重要,这样才能降低脱位风险并提高术后效果。本综述介绍了先进诊断方法、增强技术、植入考虑因素和手术规划的整合,所有这些都是根据每位患者独特的解剖学和生物力学量身定制的。它强调了准确预测术后脊柱骨力学、选择合适的成像技术、为脊柱骨僵硬度建立一致的术语以及考虑植入物特定策略的重要性。此外,它还强调了人工智能在个性化护理方面的潜力。
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Contemporary insights into spinopelvic mechanics.

Understanding spinopelvic mechanics is important for the success of total hip arthroplasty (THA). Despite significant advancements in appreciating spinopelvic balance, numerous challenges remain. It is crucial to recognize the individual variability and postoperative changes in spinopelvic parameters and their consequential impact on prosthetic component positioning to mitigate the risk of dislocation and enhance postoperative outcomes. This review describes the integration of advanced diagnostic approaches, enhanced technology, implant considerations, and surgical planning, all tailored to the unique anatomy and biomechanics of each patient. It underscores the importance of accurately predicting postoperative spinopelvic mechanics, selecting suitable imaging techniques, establishing a consistent nomenclature for spinopelvic stiffness, and considering implant-specific strategies. Furthermore, it highlights the potential of artificial intelligence to personalize care.

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来源期刊
Bone & Joint Journal
Bone & Joint Journal ORTHOPEDICS-SURGERY
CiteScore
9.40
自引率
10.90%
发文量
318
期刊介绍: We welcome original articles from any part of the world. The papers are assessed by members of the Editorial Board and our international panel of expert reviewers, then either accepted for publication or rejected by the Editor. We receive over 2000 submissions each year and accept about 250 for publication, many after revisions recommended by the reviewers, editors or statistical advisers. A decision usually takes between six and eight weeks. Each paper is assessed by two reviewers with a special interest in the subject covered by the paper, and also by members of the editorial team. Controversial papers will be discussed at a full meeting of the Editorial Board. Publication is between four and six months after acceptance.
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