在前脊椎体绑定后的疼痛:发生率,危险因素和时间
Michael J Yang1,2, Amer F Samdani1, Joshua M Pahys1
1Shriners Children's-Philadelphia, Philadelphia, PA.
Spine
|July 20, 2023
概括
青少年异常学脊椎病 (AIS) 前脊椎体绑定 (AVBT) 显著减少疼痛,大多数患者在2年内无疼痛. 虽然42%的人经历了术后疼痛,但只有8.2%的人有持续性疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 青少年医学 青少年医学
背景情况:
- 青少年异常学脊椎病 (AIS) 经常导致手术前的疼痛,这是患者的一个主要问题.
- 在后脊髓融合后,疼痛显著减少,但在前脊椎体绑定 (AVBT) 后的结果不太清楚.
研究的目的:
- 在AIS患者中确定AVBT后手术后疼痛的发生率和危险因素.
- 为了评估AVBT后的长期疼痛结果.
主要方法:
- 追溯279名AIS患者进行AVBT的病例系列.
- 收集的数据包括人口统计数据,X光照和多次术后间隔 (长达2年) 的临床疼痛评估.
主要成果:
- 68.1%的患者患有手术前疼痛,与年龄较大和胸部曲线大小较大有关.
- 41.6%的人在任何时间点报告了术后疼痛,与女性性别,修复手术和腰部修饰器有关.
- 91.8%的患者在6个月内获得疼痛缓解,只有8.2%的患者经历了持续性疼痛.
结论:
- 在AIS患者中,AVBT与疼痛显著减少有关.
- 虽然许多人经历了暂时的术后疼痛,但持续的疼痛并不常见.
- 女性性别,修复手术和特定曲线特征与术后疼痛有关.
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