预测青少年异常学脊椎病的支架假期资格
Julianna Lee1, Nathan Chaclas1, Lucas Hauth1
1Department of Orthopaedics, The Children's Hospital of Philadelphia, 3500 Civic Center Blvd., Philadelphia, PA, 19104, USA.
Spine deformity
|July 8, 2024
概括
具有高支架合规性和曲线校正的患者更有可能获得脊柱脊柱支架假期. 较高的BMI和初始曲线严重程度降低了支架假期的资格.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科脊柱手术 儿科脊柱手术
- 青少年异常学变脊椎病症 青少年异常学变脊椎病症
背景情况:
- 脊椎可以引起心理困扰.
- 当曲线改善时,临床医生可能会给予支架假期,但标准尚不清楚.
- 这项研究调查了影响年轻患者支架假期资格的因素.
研究的目的:
- 确定在儿科脊柱病患者中给予支架假期的临床指标.
- 测试该假设,支架假期资格与初始曲线度,支架内曲线变化和支架合规性相关.
主要方法:
- 追溯队列研究 (2016-2022) 56名患有异常学脊椎病的患者 (3-9岁).
- 使用I按收集的目标支架合规数据.
- 二元逻辑回归分析了影响支架假期概率的因素.
主要成果:
- 20名患者获得了支架假期.
- 更高的支架合规性和更大的支架内曲线校正增加了假期的可能性 (P=0.015,0.004).
- 更高的BMI和更大的初始曲线降低了假期的可能性 (P=0.002,0.014).
结论:
- 符合条件的患者为脊柱脊柱支架假期通常是合规的佩戴者,具有显著的支架内曲线校正.
- 虽然有些因素是固定的,但支架合规性是可以修改的.
- 需要进一步的研究来权衡支架假期对临床结果的心理益处.
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