在纠正成人脊柱形后增高
Bassel G Diebo1, Zachary Tataryn2, Daniel Alsoof1
1Department of Orthopedics, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
The Journal of bone and joint surgery. American volume
|July 21, 2023
概括
成年脊柱形手术通常会导致显著的身高增长,平均为7.6厘米. 脊柱对齐的改善与患者报告的更好的结果和外观得分相关.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 成年人脊柱形纠正成年人脊柱形纠正
背景情况:
- 成年脊柱形 (ASD) 手术后的身高增长尚未得到充分理解.
- 高度增长和患者报告的结果指标 (PROMs) 之间的相关性是未知的.
研究的目的:
- 为了调查ASD手术后的身高增长.
- 为了确定身高增长是否与PROMs相关.
主要方法:
- 对198名接受ASD手术的患者进行了回顾性队列研究.
- 在基线,6周和1年内对全身放射和PROM数据的分析.
- 相关性和回归分析以评估高度变化和PROMs.
主要成果:
- 74%的患者增长了身高,平均全身增长7.6厘米.
- 身高增长与改善的脊柱对齐相关 (例如,减少阴影,骨盆倾斜,SVA).
- 干高度增长与更好的SRS-22r外观得分相关;下肢增长与PROMIS抑郁症得分相关.
结论:
- 大多数ASD手术患者的身高增加,平均为7.6厘米.
- 术前预测比率可以估计身高增长.
- 身高增长与改善的外表和PROMIS分数相关.
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