萨尔科佩尼亚是骨减去骨切术后并发症的危险因素
Jacob M Babu1, Kevin Y Wang2, Meghana Jami2
1Illinois Bone & Joint Institute, 720 Florsheim Drive, Libertyville, IL.
Clinical spine surgery
|June 2, 2023
概括
肉症的严重程度与成人脊柱形手术 (ASD) 中的并发症增加有关. 患有较低的psoas-lumbar脊椎指数 (PLVI) 评分的患者在足骨减去骨切除术 (PSO) 后面临更高的不良事件风险.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱形是因为脊柱形.
- 老年医学 老年医学
背景情况:
- 随着年龄的增长而导致的肌肉损失萨尔科佩尼亚 (Sarcopenia) 与骨科手术的不良结果有关.
- 有限的数据存在于sarcopenia在成年脊柱形 (ASD) 手术的影响,特别是复杂的脚减去骨切除术 (PSO).
- 优化患者选择对于最大限度地减少高负荷PSO程序中的并发症至关重要.
研究的目的:
- 调查萨科佩尼亚作为ASD患者接受PSO并发症的独立风险因素.
- 根据sarcopenia的严重程度对并发症风险进行分类,使用psoas-lumbar脊椎指数 (PLVI).
主要方法:
- 73名ASD患者的回顾性队列研究,这些患者接受了PSO与脊髓融合 (≥5级).
- 通过CT/MRI扫描的psoas-lumbar脊椎指数 (PLVI) 评估的肉类.
- 用于定义基于PLVI的3个并发症风险组的层特异概率分析.
主要成果:
- 47%的患者出现并发症;并发症患者的PLVI平均值较低 (0.76比0.91).
- 随着肉症的严重程度而增加的并发症率:32% (PLVI ≥0.81),61% (PLVI 0.60-0.80) 和69% (PLVI <0.60).
- 较低的PLVI (<1.0) 与较高的近端结节的风险相关;PLVI (<0.8) 与增加的伤口感染和持续撕裂风险相关.
结论:
- 在ASD手术中,sarcopenia严重程度的增加与PSO后逐渐增加的并发症风险显著相关.
- 对于PSO,PLVI可以将患者分为不同的并发症风险类别.
- Sarcopenia 评估可能有助于患者选择和风险分层,用于复杂的脊柱形手术.
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