手术前中央缩小术对腰部减压手术后患者报告的结果的影响
Caleb M Yeung1, Jeremy C Heard1, Yunsoo Lee1
1Department of Orthopaedic Surgery, Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
World neurosurgery
|June 21, 2023
概括
腰部减压手术改善了患者的治疗结果. 患有中度或重度中枢脊柱狭窄症的患者与轻度或无狭窄症患者相比,经历了更大的背痛缓解.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱狭窄症研究研究
背景情况:
- 腰椎脊柱狭窄症是一种常见的疾病,导致神经性听和背部疼痛.
- 中枢狭窄症严重程度对减压手术后患者报告结果的影响需要进一步澄清.
研究的目的:
- 评估中心狭窄症的严重程度如何影响患者在腰部减压后报告的结果.
- 为了比较不同级别的中枢狭窄症严重程度手术后的患者报告结果 (PROMs).
主要方法:
- 对接受后腰部减压 (2014-2020) 的患者电子病历的回顾性分析.
- 中枢狭窄的严重程度分级 (没有,轻度,中度,严重) 从MRI报告.
- 患者分为"没有/轻度"和"中度/严重"狭窄症组,以对手术后1年的PROM进行比较.
主要成果:
- 在双变体分析中,在手术前,手术后或PROMs的变化中没有观察到显著的跨组差异.
- 在大多数PROM中,在手术后发现了显著的团体内改善,除了SF-12的心理健康得分外.
- 多变量回归确定中度/严重的中央运河狭窄症是改善视觉模拟尺度背痛得分的预测因素 (P=0.045).
结论:
- 腰部减压手术导致患者报告结果的显著改善.
- 患有中度或重度中枢脊柱狭窄症的患者可能会在背部疼痛方面比患有轻度或没有狭窄症的患者在解压后有更大的改善.
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