意大利面标志:在腰椎脊柱狭窄症中神经根冗余
Nora Tocheny Poulos1, Patrick F O'Brien1, Charles F Opalak1
1Department of Neurosurgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
World neurosurgery
|July 21, 2024
概括
严重的冗余神经根 (RNR),或意大利面标志 (SS),可靠地表明腰椎缩 (LSS). 然而,RNR的存在不会对LSS患者的手术结果产生负面影响.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
背景情况:
- 冗余神经根 (RNRs) 是与腰椎缩 (LSS) 相关的放射性发现.
- 以前的研究表明,RNR可能会对外科手术结果产生负面预测.
- "意大利面标志" (SS) 是严重RNR的非正式术语.
研究的目的:
- 为了评估RNR严重性的分级表.
- 描述RNR和LSS之间的关联.
- 研究RNR对手术结果的临床影响.
主要方法:
- 72名接受腰椎手术的患者的回顾性图表审查.
- 术前T2MRI扫描对狭窄和RNR严重程度进行了分级,由三个审查者进行了分级.
- SS定义为RNR得分≥2;奥斯韦斯特里残疾指数 (ODI) 分析了手术前和后.
主要成果:
- 98%的患者患有严重的狭窄 (得分≥3);35%患有SS.
- 对于高度狭窄症,SS的特异性为100%.
- 手术后的ODI得分显著改善,没有基于RNR或SS严重性的差异.
结论:
- SS是严重LSS的可靠标志物.
- 包括SS在内的RNR存在不是LSS手术结果的负面预后指标.
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