扩大外围水泥泄漏的发生率和风险因素在水泥增强的脚螺丝固定中:一个多中心的回顾性研究
Weibo Yu1,2, Xiaobing Jiang2, Haiyan Zhang1
1Department of Orthopaedics, The Third Affiliated Hospital of Southern Medical University, West Zhongshan Road 183, Guangzhou, 510520, Guangdong, People's Republic of China.
Archives of orthopaedic and trauma surgery
|December 11, 2023
概括
在用水泥增强的脚螺丝固定过程中,广泛的外周水泥泄漏与基础脊椎孔类型和螺丝放置有关. 识别这些危险因素可以帮助预防骨质疏松患者的神经损伤.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
背景情况:
- 水泥泄漏 (CL) 是水泥增强脚螺丝固定 (CAPSF) 的并发症,可能导致神经损伤.
- 基础脊椎形态和脚螺杆位置是评估CL风险的关键因素,但它们之间的关系仍然未被探索.
研究的目的:
- 在接受CAPSF的骨质疏松患者中确定广泛的外周外腔CL的发病率和危险因素.
主要方法:
- 分析了371名患有骨质疏松症的患者,1898名CAPSF螺丝.
- 术前CT评估了基础脊椎孔的形态;术后CT评估了CL的严重程度,螺丝位置和水泥扩散.
- 后勤回归确定了广泛的外周结膜CL的显著风险因素.
主要成果:
- 在5.1%的患者 (1.7%的螺丝) 发生了扩散的外周外腔CL,其中9名患者出现了神经症状.
- 患者的独立风险因素包括骨矿物质密度 (BMD) 降低和更多的增强螺丝.
- 临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床
结论:
- 一个大师基椎孔,固体螺丝,增加水泥量,较浅的螺丝植入,以及更接近中线的放置是CAPSF广泛的外周CL的重要风险因素.
- 这些发现对于风险分层和预防神经系统并发症至关重要.
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