一个以证据为基础的概念框架,用于对近端结节形的多因素理解
Pearce B Haldeman1, Samuel R Ward1, Joseph Osorio2
1Department of Orthopaedic Surgery, UC San Diego, La Jolla, CA, USA.
Brain & spine
|May 7, 2024
概括
在脊髓融合手术后的近端结节 (PJK) 是多因素的. 了解机械,患者和基于组织的风险因素是改善患者结果和手术成功的关键.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 变形纠正 变形纠正 变形纠正
背景情况:
- 当保守治疗失败时,成人脊柱形 (ASD) 需要手术干预.
- 脊柱融合手术是ASD的常见治疗方法,可以导致近端结节 (PJK).
- PJK是一个显著的并发症,可能会对患者的结果产生负面影响.
研究的目的:
- 进行关于PJK发展风险因素的文献范围审查.
- 在多因素框架 (机械,组织,人口) 中组织识别的风险因素.
主要方法:
- 在PubMed和Embase (2010年至今) 进行了广泛的文献搜索.
- 审查文章的质量评估.
- 编制和分析预测PJK发展的风险因素.
主要成果:
- 审查了150篇文章,57.3%的文章质量不佳.
- 风险因素分析主要集中在机械 (76%) 和基于组织 (5%) 的贡献上.
- 关键的预测因素包括脊椎霍恩斯菲尔德单位,UIV盘退化,副脊髓肌肉特征和术后指标.
结论:
- 涵盖机械,患者和基于组织的风险因素的多因素框架对于理解PJK至关重要.
- 进一步的研究应该集中在对这些有助于减轻PJK风险的因素的全面理解上.
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