冠状元形角比是否会影响青少年异常学脊椎病的支结果?
Lærke C Ragborg1,2, David Thornberg3, Megan Johnson3
1Rigshospitalet, Spine Unit, Department of Orthopedic Surgery, Copenhagen, Denmark. LNIE0675@regionh.dk.
概括
冠状元形角比 (C-DAR) 预测了青少年异常学脊椎病 (AIS) 患者的手术进展,这些患者接受了胸腔骨骨正 (TLSO) 治疗. 较高的C-DAR表明风险增加,为患者咨询提供了关于支架有效性的信息.
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
- 儿科整形外科 儿科整形外科
背景情况:
- 青少年异常脊椎病 (AIS) 是一种常见的脊椎形.
- 胸腔骨骨架 (TLSO) 是AIS的主要非手术治疗方法.
- 预测曲线进展到外科手术的程度对于治疗规划至关重要.
研究的目的:
- 确定冠状元形角比 (C-DAR) 是否预测TLSO治疗的AIS患者的进展到手术大小.
- 评估C-DAR作为预测指标,与治疗前的科布角度和内括弧校正相比.
主要方法:
- 对接受TLSO (≥12.9小时/天) 治疗的AIS患者 (Cobb角20-40°,Risser 0-2) 的回顾性分析.
- C-DAR计算为科布角除以曲线的脊椎数.
- 统计分析以评估C-DAR,Cobb角度,内括弧校正和进展到外科大小 (>45°) 之间的关联.
主要成果:
- 包括165名患者;16%的患者达到了手术的程度.
- C-DAR显著预测了进展到手术大小的进展 (或每单位增加1.9).
- 5.15的C-DAR值显示出与手术进展有很强的关联 (OR 5.9). 治疗前的科布角和内括弧校正也是显著的预测因素.
结论:
- 在接受TLSO治疗的AIS患者中,C-DAR是手术进展的独立预测因子.
- 较高的C-DAR值表明,尽管有支架,但曲线进展的可能性更大.
- C-DAR有助于确定患者对支架结果的现实期望.
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