骨质疏松症的治疗和成年脊柱形手术的患者的结果
Thomas Shen1, Hania Shahzad1, Frank Sierra2
1Department of Orthopaedic Surgery, Davis, University of California, Sacramento, California, USA.
World neurosurgery
|August 18, 2024
概括
骨质疏松症影响近30%的成年脊柱形患者进行脊柱融合. 治疗似乎可以减轻手术风险,尽管近端结节瘤 (PJK) 发生率在骨质疏松患者中仍然较高.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 骨质疏松症管理管理
背景情况:
- 骨质疏松症是成年脊柱形 (ASD) 手术的一个重大问题.
- 患病率和治疗对结果的影响需要进一步调查.
研究的目的:
- 为了确定患有骨质疏松症的患病率,在接受长脊髓融合治疗ASD的患者中.
- 为了比较骨质疏松和非骨质疏松患者之间的手术和放射结果.
- 评估骨质疏松症治疗对手术结果的影响.
主要方法:
- 对168名成年患者 (≥40岁) 进行胸腔部ASD手术的回顾性研究 (2015-2021年).
- 收集的人口统计,程序和药理治疗数据.
- 评估了手术前/手术后的斜腰垂直轴,骨盆发病率与腰椎位不匹配,并发症 (例如,PJK,伪).
主要成果:
- 骨质疏松症的患病率为28.6%;这些患者年龄较大,主要是女性.
- 与非骨质疏松症患者相比,接受药理治疗的骨质疏松症患者表现出与非骨质疏松症患者相似的对齐改善和手术结果.
- 在骨质疏松症队列中观察到更高的近端结节 (PJK) 率 (35.4%对17.5%).
结论:
- 接受ASD手术的骨质疏松症患者的结果与非骨质疏松症患者相似,PJK率更高.
- 药物治疗对于控制ASD患者骨质疏松症相关的手术风险至关重要.
- 早期发现和治疗骨质疏松症至关重要,以尽量减少并发症.
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