{"id":16148,"date":"2023-10-30T14:43:37","date_gmt":"2023-10-30T13:43:37","guid":{"rendered":"https:\/\/www.corsetdaum.be\/?p=16148"},"modified":"2025-01-22T15:05:25","modified_gmt":"2025-01-22T14:05:25","slug":"lessentiel-du-rachis-novembre-2023","status":"publish","type":"post","link":"https:\/\/www.corsetdaum.be\/nl\/lessentiel-du-rachis-novembre-2023\/","title":{"rendered":"L’Essentiel du Rachis – Novembre 2023"},"content":{"rendered":"
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<\/p>\n

Chaque mois, Corset Daum rassemble les \u00e9tudes scientifiques les plus int\u00e9ressantes concernant le rachis et le traitement des pathologies qui l’affectent.<\/p>\n

Ce mois-ci, nous abordons l’utilisation innovante de l’apprentissage automatique pour pr\u00e9dire les r\u00e9sultats chirurgicaux de l’arthrod\u00e8se lombaire, les implications cruciales des fractures ost\u00e9oporotiques sur l’alignement de la colonne vert\u00e9brale, les bienfaits de la r\u00e9\u00e9ducation post-chirurgicale pour les probl\u00e8mes lombaires courants, et une analyse r\u00e9trospective du r\u00f4le du volume de la discectomie dans la r\u00e9cidive pr\u00e9coce de la hernie discale lombaire.<\/p>\n

Bonne lecture !<\/p>\n

<\/p>\n

<\/p>\n

Pr\u00e9dire les r\u00e9sultats postop\u00e9ratoires de l’arthrod\u00e8se spinale lombaire : d\u00e9veloppement d’un mod\u00e8le d’apprentissage automatique<\/h2>\n
\n

Lukas Sch\u00f6nnagel, Thomas Caffard , Tu-Lan Vu-Han, Jiaqi Zhu, Isaac Nathoo, Kyle Finos, Gaston Camino-Willhuber, Soji Tani, Ali. E. Guven, et al<\/i>
<\/p>

Cette \u00e9tude se concentre sur l’utilisation de l’apprentissage automatique pour pr\u00e9dire les r\u00e9sultats chirurgicaux chez les patients atteints de spondylolisth\u00e9sis lombaire d\u00e9g\u00e9n\u00e9ratif (DLS) lors de chirurgies de fusion vert\u00e9brale. <\/p>\n

Les chercheurs ont analys\u00e9 les donn\u00e9es de patients subissant cette intervention entre janvier 2016 et d\u00e9cembre 2018 aux \u00c9tats-Unis. <\/p>\n

En utilisant des caract\u00e9ristiques pr\u00e9op\u00e9ratoires telles que les donn\u00e9es d\u00e9mographiques, les comorbidit\u00e9s et les caract\u00e9ristiques radiologiques, ils ont form\u00e9 des mod\u00e8les d’apprentissage automatique. <\/p>\n

Le mod\u00e8le XGBoost s’est d\u00e9marqu\u00e9 avec un score AUC de 0,81, indiquant une performance solide, et a identifi\u00e9 l’\u00e2ge du patient et l’atrophie des muscles paravert\u00e9braux comme des facteurs importants dans la pr\u00e9diction des r\u00e9sultats postop\u00e9ratoires. <\/p>\n

Cette approche novatrice ouvre la voie \u00e0 de nouvelles m\u00e9thodes pour anticiper les r\u00e9sultats chirurgicaux et am\u00e9liorer les soins aux patients.<\/p>\n<\/div>\n

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Disponible sur Science Direct<\/a><\/p>\n

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Les fractures vert\u00e9brales ost\u00e9oporotiques localis\u00e9es dans la r\u00e9gion lombaire ont un impact significatif sur l’alignement sagittal<\/h2>\n

<\/p>\n

Nicolas Plais, Jes\u00fas Gallego Bustos, Ignacio Mahillo-Fern\u00e1ndez, Felix Tom\u00e9-Bermejo, Charles Mengis, Luis Alvarez-Galovich<\/i><\/p>\n

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Les fractures lombaires et\/ou les fractures multiples au niveau lombaire ou thoracolombaire constituent des facteurs de risque de d\u00e9salignement sagittal chez les patients \u00e2g\u00e9s de plus de 70 ans.<\/p>\n

 Bien que les patients pr\u00e9sentant des fractures vert\u00e9brales ost\u00e9oporotiques montrent une capacit\u00e9 importante \u00e0 compenser apr\u00e8s de telles fractures, il est n\u00e9cessaire de surveiller de pr\u00e8s les fractures lombaires et thoracolombaires. <\/p>\n

Dans le cadre de cette \u00e9tude, les chercheurs ont r\u00e9alis\u00e9 une \u00e9tude r\u00e9trospective portant sur une cohorte de 249 patients \u00e2g\u00e9s de plus de 70 ans, tous atteints d’ost\u00e9oporose et ayant souffert de fractures vert\u00e9brales chroniques. <\/p>\n

Ils ont recueilli des donn\u00e9es d\u00e9mographiques et radiologiques, et effectu\u00e9 des radiographies lat\u00e9rales de la colonne vert\u00e9brale compl\u00e8te pour analyser le plan sagittal. <\/p>\n

Les patients ont \u00e9t\u00e9 class\u00e9s en fonction du nombre et de l’emplacement des fractures. <\/p>\n

Les r\u00e9sultats ont montr\u00e9 que les fractures lombaires, en particulier, sont associ\u00e9es \u00e0 un risque accru de d\u00e9salignement sagittal, soulignant ainsi la n\u00e9cessit\u00e9 d’une surveillance \u00e9troite pour ce groupe de patients \u00e2g\u00e9s.<\/p>\n<\/div>\n

<\/p>\n

Disponible sur Springer<\/a><\/p>\n

<\/p>\n

R\u00e9\u00e9ducation apr\u00e8s chirurgie du rachis lombaire chez l’adulte : revue syst\u00e9matique avec m\u00e9ta-analyse<\/h2>\n

<\/p>\n

Tiziana Manni, Nicola Ferri, Carla Vanti, Silvano Ferrari, Ilaria Cuoghi, Claudia Gaeta, Isabella Sgaravatti, Paolo Pillastrini<\/i><\/p>\n

<\/p>\n

Une r\u00e9cente revue syst\u00e9matique s’est pench\u00e9e sur l’efficacit\u00e9 de la r\u00e9\u00e9ducation post-chirurgicale pour des probl\u00e8mes lombaires courants tels que la hernie discale lombaire, la st\u00e9nose spinale et le spondylolisth\u00e9sis. <\/p>\n

Les chercheurs ont examin\u00e9 45 \u00e9tudes portant sur plus de 3 000 patients. Leurs r\u00e9sultats sugg\u00e8rent que la r\u00e9\u00e9ducation supervis\u00e9e semble offrir des bienfaits en termes de r\u00e9duction de la douleur et de l’incapacit\u00e9 chez les patients ayant subi une intervention lombaire, tant \u00e0 court qu’\u00e0 moyen terme. <\/p>\n

Cependant, des recherches compl\u00e9mentaires sont n\u00e9cessaires, notamment pour mieux comprendre l’efficacit\u00e9 de la r\u00e9\u00e9ducation dans le contexte de la st\u00e9nose spinale lombaire et du spondylolisth\u00e9sis, en raison de la limitation actuelle en termes de qualit\u00e9 et de quantit\u00e9 des donn\u00e9es disponibles.<\/p>\n

Disponible sur Springer<\/a><\/p>\n

<\/p>\n

R\u00e9cidive pr\u00e9coce de la hernie discale lombaire : Analyse r\u00e9trospective du r\u00f4le du volume de la discectomie et d’autres facteurs d’influence<\/h2>\n

<\/p>\n

Derya KARAO\u011eLU G\u00dcNDO\u011eDU, Burak GEZER, Ender K\u00d6KTEK\u0130R, Hakan KARABA\u011eLI<\/i><\/p>\n

Cette \u00e9tude se penche sur les cas de \u00ab\u00a0R\u00e9currence Pr\u00e9coce\u00a0\u00bb suite \u00e0 une hernie discale lombaire. <\/p>\n

Elle analyse les donn\u00e9es de 856 patients op\u00e9r\u00e9s pour hernie r\u00e9currente entre 2012 et 2022. <\/p>\n

Les chercheurs ont \u00e9largi la d\u00e9finition de \u00ab\u00a0r\u00e9cidive pr\u00e9coce\u00a0\u00bb et inclus 43 patients correspondant aux crit\u00e8res. <\/p>\n

Les r\u00e9sultats montrent que l’\u00e2ge, le sexe et les comorbidit\u00e9s n’ont pas de diff\u00e9rence significative entre les patients n\u00e9cessitant une r\u00e9intervention dans les 6 premiers mois et ceux n\u00e9cessitant une r\u00e9intervention entre 6 et 12 mois. <\/p>\n

Une observation int\u00e9ressante est que les m\u00e9thodes endoscopiques compl\u00e8tes et microscopiques pr\u00e9sentent des taux de r\u00e9cidive pr\u00e9coce similaires, remettant en question l’importance du volume de disque retir\u00e9 lors de la chirurgie. <\/p>\n

Ces r\u00e9sultats ouvrent la voie \u00e0 de futures recherches.<\/p>\n

<\/p>\n

Disponible sur Dergipark<\/a><\/p>\n

<\/p>\n

Restez \u00e0 jour en vous abonnant \u00e0 la newsletter!<\/p>\n

<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Chaque mois, Corset Daum rassemble les \u00e9tudes scientifiques les plus int\u00e9ressantes concernant le rachis et le traitement des pathologies qui … Lire plus<\/a><\/p>","protected":false},"author":9,"featured_media":16149,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[],"class_list":["post-16148","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-edr","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50"],"yoast_head":"\nL'Essentiel du Rachis - Novembre 2023 - Corset DAUM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.corsetdaum.be\/nl\/lessentiel-du-rachis-novembre-2023\/\" \/>\n<meta property=\"og:locale\" content=\"nl_BE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L'Essentiel du Rachis - Novembre 2023 - Corset DAUM\" \/>\n<meta property=\"og:description\" content=\"Chaque mois, Corset Daum rassemble les \u00e9tudes scientifiques les plus int\u00e9ressantes concernant le rachis et le traitement des pathologies qui ... 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