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皮肤椎造形术后骨水泥分布与相邻的脊椎骨折之间的相关性研究

Bing Peng¹, Zepeng Zhang², Jiangping Chen²

¹Tianjin University of Traditional Chinese Medicine, Tianjin, China.

World neurosurgery

|August 10, 2023

概括

穿皮脊柱造形术 (PVP) 后的邻近脊椎骨折 (AVF) 可以使用X射线评估方法预测. 侧面 (LAT) 和组合PA和LAT方法比AVF的后部-前部 (PA) 方法更具预测性.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
生物材料是一种生物材料.

背景情况:

骨质疏松性压缩骨折很常见,通皮脊椎造形术 (PVP) 是一种常见的治疗方法.
邻近的脊椎骨折 (AVF) 是PVP后的潜在并发症.
预测AVF对于患者的管理和改善结果至关重要.

研究的目的:

调查骨水泥分布和PVP后的AVF之间的相关性.
评估简单的基于X射线的AVF评估方法的预测能力.
推导出一种简单而准确的方法来预测PVP后的AVF.

主要方法:

对570名接受骨质疏松性压缩骨折单段PVP的患者的回顾性分析.
根据手术后一年内出现AVF的情况,患者被分为两组.
评估使用ROC分析预测AVF的三种X射线方法 (PA,LAT,PA和LAT).

主要成果:

在AVFs和没有AVFs的组之间,一般患者数据没有显著差异.
在PA,LAT和PA和LAT方法中,AUC分别为0.611,0.691和0.714.
与PA方法相比,LAT和PA和LAT方法对AVF的预测准确性更高.

结论:

在PVP之后,X射线评估方法可靠地预测AVF.
LAT和PA和LAT方法比PA方法更具预测性.
在中线 (PA) 和端板接触 (LAT) 上更广泛的水泥分布是AVF的风险因素.

关键词:

邻近的脊椎骨折附近的脊椎骨折骨水泥的分配骨水泥的分配通过皮肤进行的脊椎造形术.

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