术前12项退伍军人身体组件分数对宫椎盘置换后的结果的影响

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¹Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. Harrison St. Suite #300, Chicago, IL, 60612, USA.

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概括

在宫盘置换手术 (CDR) 后,手术前身体功能得分较低的患者 (VR-12 PCS) 在患者报告的结果中经历了更大的改善. 这突显了手术对那些身体健康状况较差的人的重大影响.

科学领域:

整形外科手术整形外科手术
脊柱外科手术脊柱外科手术
患者报告的结果.

背景情况:

宫椎间盘置换 (CDR) 是用于宫脊椎疾病的常见手术程序.
手术前的患者因素可能会影响手术结果.
VR-12物理组件分数 (PCS) 评估身体功能,并可以预测结果.

研究的目的:

评估手术前VR-12物理组件分数 (PCS) 对宫椎盘置换 (CDR) 后结果的影响.
为了确定基线物理功能是否会影响CDR后患者报告的结果 (PROs).

主要方法:

对接受选择性CDR的患者进行回顾性审查.
收集了患者报告的结果,包括VR-12 PCS/MCS,SF-12 PCS/MCS,PHQ-9,PROMIS-PF,VAS-NP/AP和NDI.
对VR-12 PCS<35和VR-12 PCS≥35患者的结局进行比较,分析改善情况和临床重要差异最小值 (MCID).

主要成果:

基线VR-12 PCS较差的患者 (较低得分) 在六周和最后的随访中报告了较差的结果,除了手臂疼痛.
最糟糕的VR-12 PCS组在几个PRO中表现出更大的改善,包括VR-12 PCS和心理组分分数.
更糟糕的VR-12 PCS与VR-12 MCS和SF-12 PCS的MCID更高的成就有关.

结论:

手术前身体功能较差的患者 (较低的VR-12 PCS) 在CDR后在PRO中经历了较大的相对改善.
这些发现强调了CDR对基线身体健康状况较差的患者的重大影响.
结果可以为外科手术期间的患者管理和预期设置提供信息.

关键词:

宫椎间盘置换术宫椎间盘置换术患者报告的结果物理功能物理功能在VR-12 PCS中使用.

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