术前症状持续时间对患者报告的结局的影响 宫椎间盘替换宫根性病变后的宫椎间盘替换
Eric Mai1,2, Eric T Kim1, Austin Kaidi1
1Department of Spine, Hospital for Special Surgery, New York, NY.
Spine
|April 29, 2024
概括
在宫盘置换 (CDR) 患者中,术前症状持续时间较短,导致更好的结果. 晚期手术 (≥6个月) 对于根细胞病变与较差的功能结果和增加的残疾有关.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 宫椎间盘置换 (CDR) 对于椎脊椎退行性疾病是有效的.
- 手术前症状持续的时间对CDR结果的影响尚不清楚.
研究的目的:
- 为了评估患者等待手术的时间多久会影响他们在宫椎间盘替换后的结果.
主要方法:
- 从201名接受CDR的患者前性收集的数据的回顾性审查.
- 根据症状持续时间分组患者:较短 (<6个月) 和较长 (≥6个月).
- 用部残疾指数 (NDI) 和视觉模拟尺度 (VAS) 测量部和手臂疼痛的结果.
主要成果:
- 症状持续时间较短的患者在手术后的NDI和VAS得分中显著改善.
- 症状持续时间较短的患者的比例较高,在所有测量指标上都实现了临床重要差异最小值 (MCID).
- 症状持续时间长 (≥6个月) 独立预测NDI,VAS-Neck和VAS-Arm无法实现MCID的失败.
结论:
- 较短的手术前症状持续时间与激光病变后CDR后患者报告的优异结果有关.
- 推迟宫椎间盘置换手术可能会导致更糟糕的功能结果和增加术后残疾.
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