宫骨折模式和脑血管损伤之间的关联,当用计算机断层扫描血管学查时
Peter Z Du1, Nicholas D Christopher2, Venkat Ganapathy1
1Department of Orthopaedic Surgery, University of Arizona, 1501 N Campbell Ave, 8th Floor Room 8401, Tucson, AZ, 85724, USA.
The spine journal : official journal of the North American Spine Society
|September 21, 2023
概括
脑血管损伤 (BCVI) 与特定的椎骨折有关. 建议对上部 (OC-C3),多层和脱/脱骨折进行查,以预防中风.
科学领域:
- 创伤外科手术是什么
- 神经外科 神经外科
- 这是血管外科手术.
背景情况:
- 椎骨折与脑血管损伤 (BCVI) 有关.
- 未被诊断的BCVI会导致严重的后果,包括中风.
- 识别特定的骨折模式对于BCVI查至关重要.
研究的目的:
- 确定哪些宫骨折模式与BCVI相关.
- 以指导使用计算机断层扫描血管学 (CTA) 的查协议.
主要方法:
- 从2018年1月到2021年12月,对患有凸椎骨折的患者进行了回顾性队列研究.
- 在453名患者中对BCVI进行CTA查的分析.
- 统计分析包括t测试,奇方,费舍尔精确测试和赔率比率.
主要成果:
- 在接受CTA查的患者中,BCVI被诊断为30%的患者.
- 组合的OC-C3骨折 (OR: 1.4) 和多层骨折 (OR: 1.7) 显示BCVI风险增加.
- 脱/脱的骨折具有最高的BCVI风险 (OR:3.8).
结论:
- 脱/脱的骨折与BCVI有很强的关联.
- 上部 (OC-C3) 和多层骨折也会增加BCVI风险.
- 建议CTA查OC-C3,多层次,以及位/突起的椎骨折.
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