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从2009年到2019年,宫椎间盘关节整形手术的指示和禁忌趋势
Karim Shafi1, Jerry Y Du1, Collin W Blackburn2
1Division of Spine Surgery, Hospital for Special Surgery, New York City, NY.
Clinical spine surgery
|March 6, 2024
概括
宫椎间盘关节整形术 (CDA) 的使用在老年患者和骨髓病变/根基病变的指示中在2009-2019年间增加. 更多以前有CDA禁忌的患者接受了该程序,这需要进一步的研究.
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
- 神经外科 神经外科
- 生物医学工程 生物医学工程
背景情况:
- 人们对宫椎间盘关节整形术 (CDA) 的熟悉度日益增长,导致其使用指示范围扩大.
- 了解CDA利用的趋势对于评估其在脊柱护理中的不断变化的作用至关重要.
研究的目的:
- 评估宫椎间盘关节整形术 (CDA) 指示的时间趋势.
- 为了评估随着时间的推移对宫椎间盘关节整形术 (CDA) 使用的禁忌的变化.
主要方法:
- 一项采用医疗保险提供者分析和审查2009年,2014年和2019年的有限数据集的横截面研究.
- 包括接受选择性椎盘关节整形手术 (CDA) 的患者.
- 使用国际疾病分类 (ICD) -9/10代码评估诊断和禁忌.
主要成果:
- 65岁以上接受CDA的患者比例显著增加,从35%增加到51%.
- 对骨髓病变和根结病变的CDA使用增加,而对孤立脊椎病的使用减少.
- 在患有原始禁忌的患者中进行的CDA显著增加,包括结性脊髓炎,长期使用类固醇,病态肥胖和骨质疏松症.
结论:
- 宫椎间盘关节整形术 (CDA) 的使用已经转向老年人群和更复杂的疾病,如骨髓病变和根基病变.
- 越来越多的患有先前存在的禁忌的患者正在接受CDA治疗,这表明实践模式的潜在转变.
- 需要进行进一步的研究,以确定椎盘关节整形术 (CDA) 在有禁忌的患者的疗效和安全性.
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