宫脊椎骨折治疗的固定方案:一个范围审查
Akhilesh Bhushan1, Alexa Beland1, Chantelle Poelstra1
1School of Rehabilitation Science, Faculty of Health Science, McMaster University, Hamilton, Ontario, Canada.
概括
目前用于椎骨折的宫固定方案缺乏有效性和标准化的明确证据. 死亡率和肌肉骨并发症等不良事件很常见,这凸显了需要更高质量的研究的需要.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 康复医学 康复医学 康复医学
背景情况:
- 宫固定协议是急性康复中老年人宫脊椎骨折的标准.
- 然而,关于它们的整体有效性缺乏共识.
研究的目的:
- 要总结关于宫骨折后宫固定方案的研究.
- 评估研究设计,当前的方案,有效性和不良事件.
主要方法:
- 对EMBASE,MEDLINE,CINAHL和CENTRAL数据库进行了范围审查.
- 提取了32个成年人 (≥18岁) 宫骨折的研究,这些研究是用刚性外部骨架进行管理的.
- 使用乔安娜·布里格斯研究所的指导方针评估了偏见风险.
主要成果:
- 审查包括低水平的证据 (18%前性,69%后性队列研究).
- 缺乏随机对照试验和研究质量差,限制了关于标准化方案和有效性的结论.
- 死亡率,肌肉骨并发症和延迟手术被确定为常见的不良事件.
结论:
- 对于宫脊椎骨折的宫固定方案,需要更高层次的证据.
- 目前的协议缺乏标准化,其有效性不清楚,不良事件很常见.
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