椎脊椎骨质量评分独立预测后椎融合后的远距离结节囊
Alexander O Aguirre1, Mohamed A R Soliman2,3,4, Cathleen C Kuo1
1Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo , New York , USA.
用椎骨质量 (C-VBQ) 评分来衡量椎骨质量的低质量,是后椎融合手术后远端结节 (DJK) 的重要预测因素.
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
- 放射学 放射学是一门学科.
背景情况:
- 后宫融合是长椎脊柱段的标准.
- 远端结节 (DJK) 是一种已知的并发症,但对其预测因子的数据有限.
研究的目的:
- 为了研究术前宫椎骨质量 (C-VBQ) 评分和后宫融合后的DJK的发展之间的关联.
主要方法:
- 93名接受后宫融合 (2010-2020年) 的患者的回顾性审查.
- 分析包括基线MRI,X射线和>1年的随访.
- 统计方法包括单变量和多变量回归,以及C-VBQ得分相关性的线性回归.
主要成果:
- 19.4%的患者患上了DJK.
- 而DJK组的C-VBQ得分显著更高 (2.97对2.26,P<.001).
- C-VBQ得分独立预测了DJK (OR1.46,P<.001) 并与形角度变化相关 (r2=0.26,P<.001).
结论:
- 手术前的C-VBQ得分是后宫融合后DJK的重要独立预测指标.
- 评估骨质量可能有助于识别患有DJK风险较高的患者.
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