影响C5活力和人口变异的因素在两个臂中心
Nicole A Zelenski1,2, Nichole A Joslyn1, Ying Hsuan Lee2
1From the Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minn.
Plastic and reconstructive surgery. Global open
|July 17, 2023
概括
完整的臂损伤往往涉及C5神经根的突破. 事故带来的更高的动能 (KE) 显著增加了C5突破的风险,影响了这些破坏性损伤的手术治疗选择.
科学领域:
- 神经外科 神经外科
- 创伤学 创伤学 创伤学
- 整形外科手术 整形外科手术
背景情况:
- 完整的臂损伤是严重的,可以导致严重的残疾.
- 活跃的C5脊髓神经对于潜在的轴突再生至关重要,并影响手术策略.
- 识别预测C5神经根突破的因素对于优化患者的治疗结果至关重要.
研究的目的:
- 为了确定与C5神经根突出相关的因素,在患者中完全臂损伤.
- 为了比较两个国际中心之间的伤害特征和风险因素.
主要方法:
- 在两个国际中心进行了一项对200名患有完整臂损伤的患者的回顾性研究.
- 收集的数据包括人口统计,伤害机制,动能 (KE) 和伤害严重性得分.
- 通过手术前成像,手术后探索和神经监测来评估C5神经根的活力.
主要成果:
- 在62%的美国患者和43%的台湾患者中观察到完整的五神经根突变.
- 增加C5流血风险的因素包括年龄较大,手术时间较长,BMI较高,机动车辆事故,KE增加,受伤严重程度得分较高和血管损伤.
- 摩托车 (≤150cc) 或自行车事故与脱胎风险降低有关.
结论:
- 完整的臂突裂损伤的发生率很高.
- 尽管美国和台湾队伍的人口结构差异很大,但事故动能增加始终会增加C5突破的风险.
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