经过形腰椎体融合后,年龄是早期术后子沉降的危险因素吗? 一项对170名患者的回顾性研究
Yuancheng Zhang1,2,3,4, Corina Nüesch1,2,3,5, Annegret Mündermann1,2,3,5
1Department of Spine Surgery, University Hospital Basel, Basel, Switzerland.
Global spine journal
|December 21, 2023
概括
年龄和男性性别是转腰椎体间融合 (TLIF) 后子沉降的早期风险因素. 然而,只有BMI增加了在一年内修复手术的风险.
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
- 神经外科 神经外科
背景情况:
- 子沉降是经过跨腰间体融合 (TLIF) 的潜在并发症.
- 确定子沉降和修复手术的危险因素对于患者的治疗结果至关重要.
研究的目的:
- 为了确定年龄是否是TLIF后子沉降的风险因素.
- 调查与子沉降和修复手术相关的其他患者特征和成像参数.
主要方法:
- 追溯观察性研究,分析患者的人口统计和手术信息.
- 子沉降定义为>2mm迁移到脊椎体,通过X射线评估.
- 统变逻辑回归用于识别沉降和修复手术的风险因素.
主要成果:
- 子沉降发生在3个月后的16.5%和1年后的34.1%中.
- 年龄和男性性别与早期沉降 (3个月) 有关.
- 一年后,男性的性别仍然是风险因素,而年龄则不是;只有BMI预测了修复手术.
结论:
- 年龄是TLIF后早期子沉降的风险因素,但不是在更长的随访中.
- 男性的性别是早期和晚期子沉降的风险因素.
- 身体质量指数 (BMI) 是一年内修复手术的重要预测指标.
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