腹腔大动脉化与脊肌的退化有关 - - 一项回顾性横截面研究
Friederike Schömig1,2, Lukas Schönnagel1,2, Jiaqi Zhu3
1Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Cornell Medicine, New York City, NY, USA.
Spine
|May 8, 2024
概括
腹腔大动脉化 (AAC) 与经历腰部融合的患者的副脊髓肌肉退化有关. 手术前的AAC评估可以确定患有不良外科结果风险较高的患者.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
- 肌肉骨成像系统的成像
背景情况:
- 腹腔大动脉化 (AAC) 和副脊髓肌肉退化与腰椎手术的不良结果有关.
- 有限的数据存在于AAC和脊椎外科手术患者的脊柱肌肉变化之间的关联.
研究的目的:
- 调查腹部大动脉化 (AAC) 与准脊椎肌肉变化之间的关系,特别是横截面 (CSA) 和脂肪透 (FI).
- 在接受腰部融合手术的患者中分析这些关联.
主要方法:
- 对301名为退行性脊柱病理而接受腰部融合的患者进行了回顾性队列研究.
- 使用MRI评估肌肉和脊髓退化,并在侧腰部X射线图上进行AAC分类.
- 多变量回归分析根据年龄,性别,BMI,并发症和腰部退行症进行调整,以评估关联.
主要成果:
- 患有AAC的患者表现出更高程度的椎间盘和面部关节退化.
- 在AAC程度和勃起器脊柱和多肌的脂肪透 (FI) 之间发现了显著的正相关性.
- 观察到AAC度与心肌的横截面积 (CSA) 之间存在显著的负相关性.
结论:
- 腹腔大动脉化 (AAC) 独立地与经历腰部融合的患者的勃起脊柱和psoas肌肉的退化有关.
- 无论是AAC还是副脊髓肌肉退化,都会对术后结果产生负面影响.
- 术前对AAC的评估可能有助于识别腰部手术后患有不良结果风险增加的患者.
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