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垂直层骨折如何影响胸脊骨折的决策? 一个系统的范围审查和元分析

Mohamed M Aly^1,2, Omar A Abdelwahab³, Mostafa M E Atteya⁴

¹Department of Neurosurgery, Mansoura University, Mansoura, Egypt. drmoali26@gmail.com.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|March 2, 2024

概括

垂直层骨折 (VLF) 是胸脊骨折 (TLFs) 的重要指标,强烈预测神经学缺陷和持续伤. 这一发现有助于为TLFs做出手术决策.

科学领域:

整形外科手术整形外科手术
神经外科神经外科
脊柱创伤研究研究

背景情况:

垂直层骨折 (VLF) 被认为是胸腔骨折 (TLF) 的严重性标志物.
在指导TLF临床决策方面,VLF的确切作用仍然不完全定义.
本综述综合了目前关于VLF对TLF管理的影响的研究.

研究的目的:

进行范围审查,综合现有关于VLF在胸脊骨折决策过程中的作用的研究.
评估VLF与TLF管理中的诊断和治疗影响的关联.

主要方法:

按照PRISMA指南进行了系统审查,搜索了PubMed,Scopus和Web of Science.
包括的研究检查了VLF在TLFs关于持续伤,神经缺陷,放射性参数和治疗结果.
进行了一项元分析,将VLF与持续伤和神经缺陷的关联情况的概率比率 (ORs) 结合起来.

主要成果:

审查了涉及2021名患者的28项研究;其中12项被纳入了元分析.
在VLF和神经缺陷 (OR = 7.35,95% CI [3.97,14.25]) 和持续伤 (OR = 7.75,95% CI [2.41,24.87]) 之间发现了显著的关联.
VLF在区分AO类型A3和A4骨折方面表现出潜力.

结论:

VLF对管理TLF具有诊断和治疗意义.
它可以帮助区分AO类型A3和A4骨折,并预测手术前的持续伤.
在破裂骨折的决策中,VLF显示出作为一种有价值的修饰剂的潜力,尽管对治疗结果的进一步研究是有必要的.

关键词:

根据AOSpine的分类.爆裂骨折爆裂骨折是指爆裂骨折的发生.计算机断层扫描 (CT) 是一种计算机断层扫描.决策方式决策方式持续的撕裂造成的伤口.跨脚间的扩张胸椎骨折胸椎骨折胸椎骨折垂直层层断裂是指垂直层层断裂.

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