脊柱外围作为预测因素,对必要的早期手术干预的必要性,在患有发热性脊髓炎的患者
Jiwon Park1, Sangsoo Han2, Yeong Jeon1
1Department of Orthopedics, Korea University Ansan Hospital, Ansan, 123, Jeokgeum-ro, Danwon-gu, 15355, Ansan-si, Gyeonggi-do, Republic of Korea.
BMC musculoskeletal disorders
|July 18, 2023
概括
皮原性脊柱炎的早期手术干预对于患有外围的患者至关重要,如MRI所示. 这可以预防神经系统缺陷,并改善这种罕见疾病的结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 传染病 传染病 传染病
- 放射学 放射学是一门学科.
背景情况:
- 发烧性脊柱炎是一种罕见的疾病,有可能导致严重的神经复杂症.
- 保守的治疗是第一线的,但早期的手术干预对于特定的患者群体至关重要.
- 缺乏明确的指导方针存在于皮原性脊柱炎的手术必要性.
研究的目的:
- 分析放射学发现 (MRI 脊柱膜) 和临床因素,以预测皮原性脊柱炎的早期手术干预.
- 为患者提供有关早期手术干预的必要性的见解.
主要方法:
- 对47名发热性脊髓炎患者的回顾性审查.
- 分析普通放射和加多增强的MRI扫描.
- 评估人口统计数据,实验室测试,临床因素,并发症和并发感染. 通过组织活检和/或血液培养来诊断病原体.
主要成果:
- 在47名患者中,26名患者在MRI上出现了外周.
- 手术组的外周发生率显著更高 (p=0.001).
- 在手术组中观察到较高的CRP和体温. 年龄,性别,并发症或脊柱水平受影响方面没有显著差异.
结论:
- 在MRI上出现外周的存在对于决定在发热性脊柱炎的早期手术治疗至关重要.
- 早期手术干预皮质性脊柱炎患者的外围可以改善临床结果.
- 这一发现有助于制定发热性脊髓炎的治疗指南.
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