圣关节融合趋势的全国分析:利用和人口特征的区域差异

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Updated: Jun 19, 2026

05:30

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

879

Andy Ton¹, Kevin Mertz¹, Marc Abdou¹

¹Department of Orthopaedic Surgery, Keck School of Medicine at The University of Southern California, Los Angeles, CA, USA.

Global spine journal

|August 17, 2023

概括

从2010年到2021年,关节 (SIJ) 融合利用率每年升33.5%,预计到2028年将增加1100%. 脊椎关节炎是主要的诊断,突出了改善SIJ融合程序的诊断策略和指导方针的需要.

科学领域:

脊柱外科手术脊柱外科手术
整形外科整形外科整形外科
疼痛管理疼痛管理

背景情况:

关节 (SIJ) 疼痛是慢性腰部疼痛的重要原因之一.
SIJ融合是一种越来越多地用于治疗耐火性SIJ疼痛的手术干预.
了解利用趋势对于资源配置和临床实践发展至关重要.

研究的目的:

评估2010年至2021年美国SIJ合并的利用率和人口趋势.
预测SIJ融合程序的未来趋势.
分析与SIJ融合相关的诊断指示和患者特征.

主要方法:

从2010年至2021年接受SIJ融合的18032名患者的回顾性队列分析.
数据从PearlDiver国家数据库中提取,使用ICD和CPT代码.
排除创伤,恶性瘤或感染迹象;分析人口统计,临床和程序数据;计算年度百分比变化 (APC);未来预测的负二项式回归;区域比较的千平方分析.

主要成果:

每年的SIJ聚变利用率平均增加了33.5%.
脊髓关节病引起的圣炎是最常见的征兆 (51%).
18%的人先前有腰部融合,只有45%的人接受了手术前的诊断SIJ注射.

结论:

对耐火性SIJ疼痛的SIJ融合利用正在迅速增加.
迫切需要基于证据的指导方针和改进的诊断策略.
确定明确的指示对于支持SIJ融合日益增长的应用至关重要.

关键词:

融合融合融合融合融合融合融合融合融合融合圣结关节 (Sacroiliac Joint) 是一个神经结关节.这种神经性炎是神经性炎.趋势趋势趋势使用利用利用利用利用利用利用利用利用利用

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