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在宫脊椎手术后,握力发力仪的读数是否有所改善?

Scott L Zuckerman1,2,3, Jacob L Goldberg2, Meghan Cerpa3

  • 1Department of Neurologic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

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|October 21, 2023
PubMed
概括

宫脊椎手术改善了42%的患者的握力,而那些患有根性病变的患者表现更好,而不是骨髓病变. 前子宫椎切除和融合 (ACDF) 预测改善.

关键词:
前子宫椎切除术和融合术在前面的 corpectomy.宫脊椎手术 宫脊椎手术动力计的动力表.抓地力 抓地力 抓地力 抓地力

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科学领域:

  • 神经外科 神经外科
  • 整形外科 整形外科 整形外科
  • 手术手术手术手术手术

背景情况:

  • 在椎脊椎手术患者中评估手术前手术功能存在挑战.
  • 握力是手部功能的关键指标,但客观的术后评估仍然很困难.

研究的目的:

  • 用手动动力表来评估部脊椎手术后的握力变化.
  • 为了区分仅有根基病变与骨髓病变的患者之间的抓地力改善.
  • 为了确定手术后增强握力强度的预测因素.

主要方法:

  • 一项回顾性队列研究分析了2015年至2018年间接受椎脊椎手术的262名患者的数据.
  • 手握力是在手术前和手术后三次间隔 (0-3,3-6,6-12个月) 测量.
  • 外科手术包括前椎切除和融合 (ACDF),胸膜切除,层层整形和后椎融合.

主要成果:

  • 总体而言,42%的患者 (110/262) 显示握力改善≥10磅.
  • 仅有根细胞病变的患者的改善率 (54%) 与骨髓病变患者 (31%) 相比较高.
  • 前椎切除和融合 (ACDF) 与握力改善的可能性增加有关 (OR 2.53,P = .005). 年龄较大 (OR = .97,P = .003) 和细膜整形 (OR = .44,P = .014) 与改善较少相关.

结论:

  • 在宫脊椎手术后的42%的患者中,握力显著改善.
  • 与宫骨髓病患者相比,患有宫骨髓病的患者经历了较大的握力改善.
  • 在子宫下部水平 (C2/3-C5/6和C6/7-T1/2) 的手术显示在术后3个月内显著增加了握力.