哪种真空现象更能预测未来的结节障碍? : 内部或内部的面孔?
Murat Şakir Ekşi1, Jülide Hazneci2, Arda Topçu2
1Health Sciences University, School of Medicine, Department of Neurosurgery, Istanbul, Turkey; FSM Training and Research Hospital, Neurosurgery Clinic, Istanbul, Turkey.
概括
真空现象 (VP) 可以预测脊椎退行性脊椎疾病的腰部融合后的结节障碍. 内面VP是一个比内面VP更强的预测器,有助于手术规划以减少并发症.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 脊柱研究已经探索了真空现象 (VP) 和脊柱不稳定之间的联系.
- 然而,对于腰椎退行性脊椎疾病 (DSDs) 进行融合后的VP和结节障碍之间的直接关联仍然未得到报道.
研究的目的:
- 调查真空现象 (VP) 是否预测短段腰部解压和DSD融合患者的结节障碍.
- 为了确定在预测这些疾病中,内性与内面性VP的相对重要性.
主要方法:
- 对前性收集的患者数据库进行回顾,这些患者接受了DSDs的短段腰部减压和融合.
- 在手术前的CT扫描中,分析了内和面内VP,并分配了分数.
- 计算了总VP得分,并与随访时的结节障碍发生率相关联.
主要成果:
- 患有结节障碍的患者的总和内面VP得分显着更高.
- 总VP得分 (OR 1.217,p=0.014) 和内面VP得分 (OR 1.465,p=0.008) 是结节障碍的预测.
- 在ROC分析中,总VP分数为1.5的截止值,面内VP分数为0.5的截止值.
结论:
- 真空现象 (VP) 与DSDs的短段腰部减压和融合后的结合障碍有关.
- 内面VP比内面VP更重要地预测结节障碍.
- 在手术前评估内和内面VP对于手术规划至关重要,以减轻结节障碍的风险.
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