术内脊髓损伤的定义,频率和危险因素:知识综合
Michael G Fehlings1,2,3, Ayesha Quddusi3, Andrea C Skelly4
1Division of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Global spine journal
|March 25, 2024
概括
术内脊髓损伤 (ISCI) 被定义为脊髓手术期间出现的新的神经缺陷. 风险因素包括年龄较大,男性性别,心血管疾病和严重肌肉病,而IONM使用会降低风险.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 神经学 神经学
背景情况:
- 术内脊髓损伤 (ISCI) 是脊髓手术的严重并发症.
- 由于缺乏统一的ISCI定义,导致报告频率和风险因素变化.
- 为了解决这些差距,进行了知识综合.
研究的目的:
- 建立一个统一的ISCI定义.
- 为了确定ISCI的频率.
- 为了确定ISCI的临床和成像风险因素.
主要方法:
- 一种混合方法的方法,结合了范围审查和系统审查.
- 范围审查以定义ISCI频率和定义.
- 系统审查以确定ISCI风险因素,遵守PRISMA标准.
主要成果:
- ISCI频率在0%至61%之间.
- 患ISCI的危险因素包括年龄较大,男性性别,心血管疾病,严重骨髓病变,血液损失和特定的脊柱病理.
- 术内神经监测 (IONM) 和更好的术前神经状况与ISCI风险降低有关.
结论:
- ISCI被定义为在脊柱手术期间或脊柱手术后立即出现或恶化的神经缺陷.
- 确定的临床和成像因素可以帮助临床医生评估ISCI风险.
- 本研究提供了ISCI的清晰定义和风险因素概况.
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