对脊柱体连接 (VBT) 的新视角:通过修改的Clavien-Dindo-Sink (mCDS) 分类
John S Vorhies1, Lucas Hauth2, Samantha Garcia2
1Department of Orthopaedics, Stanford Medicine Children's Health, Palo Alto, CA.
Journal of pediatric orthopedics
|March 8, 2024
概括
对于异常脊柱病的前脊椎体绑定 (AVBT) 的并发症率比后脊柱融合 (PSF) 高. 本研究强调了使用mCDS分类系统的AVBT学习曲线.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 儿科形纠正 儿童形纠正
背景情况:
- 前脊椎体绑定 (AVBT) 是一种新兴的奇形脊柱病 (IS) 手术技术.
- 将AVBT与已确立的护理标准,后脊髓融合 (PSF) 进行比较,对于患者和家庭的决策至关重要.
- 修改后的克拉维恩 - 丁多系统 (mCDS) 提供了一种标准化的方法来分类手术并发症.
研究的目的:
- 使用mCDS报告IS患者AVBT的并发症率.
- 为了将AVBT的并发症概况与IS的PSF进行比较.
主要方法:
- 儿童脊柱形患者的多中心数据库被查询到AVBT病例.
- 包括171名至少9个月随访的患者.
- 两名儿科脊椎外科医生通过使用mCDS分类系统来回归分级并发症.
主要成果:
- 在接受AVBT的171名IS患者中,55人 (32%) 经历了69次并发症.
- 最常见的mCDS并发症级别是IIIb (42%),其次是I级 (33%).
- 49%的AVBT并发症需要程序性干预,手术或ICU入院.
结论:
- 与PSF相比,AVBT显示严重并发症 (III级或更高) 的比率更高.
- 49%的AVBT并发症是III级或更高的,而PSF队列中的并发症为7%.
- 与IS的PSF相比,mCDS有效地突出了与AVBT相关的早期学习曲线.
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