优化患者对预防近端结节的优化
Brendan F Judy1, Jovanna A Tracz2, Safwan Alomari2
1Johns Hopkins University School of Medicine, Baltimore, MD, USA bjudy1@jhmi.edu.
International journal of spine surgery
|June 15, 2023
概括
靠近结节 (PJK) 和失败 (PJF) 是成年脊柱形 (ASD) 的手术风险. 本综述详细介绍了五个关键的风险因素和患者优化策略,以减轻PJK/PJF.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 变形纠正 变形纠正 变形纠正
背景情况:
- 靠近结节 (PJK) 和靠近结节衰竭 (PJF) 是成人脊柱形手术 (ASD) 后的重大并发症.
- 确定的危险因素包括骨质疏松症,虚弱,神经退行性疾病,肥胖和吸烟.
研究的目的:
- 在ASD手术中审查支持PJK/PJF关键风险因素的证据.
- 为患者提供优化建议,以减少PJK/PJF发病率.
主要方法:
- 对研究PJK/PJF风险因素的文献综述.
- 对影响ASD手术结果的患者相关因素的分析.
主要成果:
- 骨质疏松症,虚弱,神经退行性疾病,肥胖和吸烟与增加PJK/PJF风险有关.
- 患者优化策略可以潜在地减轻这些风险.
结论:
- 解决可修改的风险因素对于改善ASD手术的结果至关重要.
- 手术前的患者优化是预防PJK/PJF的关键组成部分.
相关概念视频
Mitral Valve Prolapse III: Nursing Management
18
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
18
Mitral Stenosis IV: Nursing Management
15
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
15
Mitral Valve Prolapse II: Assessment and Management
23
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
23
Tracheostomy Care I: Pre-procedural Steps
257
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
257
General Case of Eccentric Axial Loading
219
Unsymmetrical bending occurs when the bending moment applied to a structural member does not align with its principal axis. This misalignment leads to complex stress distributions and deflection patterns that differ from symmetrical bending, which are essential for designing structures to withstand different loading conditions.
Consider a member subjected to equal and opposite forces that are applied along a line that does not coincide with the member's neutral axis. In unsymmetrical...
Consider a member subjected to equal and opposite forces that are applied along a line that does not coincide with the member's neutral axis. In unsymmetrical...
219
Preventive Healthcare Services
1.1K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K


