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对于宫骨髓病的拉米诺整形术使用的地理和专业特异性变化

Aymen Alqazzaz¹, Thompson Zhuang¹, Bijan Dehghani¹

¹Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania.

Clinical spine surgery

|September 26, 2024

概括

用于宫骨髓病的拉米诺整形不同于美国的外科医生专业和地区. 骨科外科医生和中西部地区的利用率高于神经外科医生和其他地区.

科学领域:

神经外科神经外科
整形外科手术整形外科手术
脊柱外科手术脊柱外科手术

背景情况:

宫性骨髓病是一种影响部脊髓的疾病.
拉米诺整形术是一种用于治疗宫骨髓病的外科手术.
在美国,对于宫骨髓病的拉米诺整形术的使用中存在外科医生变化.

研究的目的:

调查用于宫骨髓病的层层塑造术的地理和专业特异性变化.
根据外科医生的培训和位置,分析拉米诺整形术使用趋势.

主要方法:

使用Mariner 157数据库 (2010-2021) 的回顾性队列研究.
鉴定了患有宫骨髓病的患者,这些患者接受了拉米诺整形或宫后部解压和融合 (PCDF).
分析了患者的人口统计,并发症,地理位置和外科医生专业 (神经外科 vs 整形脊柱手术).

主要成果:

在34432名宫骨髓病患者中,有11.7%接受了拉米诺整形;88.3%患有PCDF.
与中西部相比,东北部,南部和西部地区的拉米诺整形术利用率较低.
脊椎外科医生进行了57.0%的拉米诺整形手术,而神经外科医生进行了43.0%.

结论:

在美国,对于宫骨髓病的拉米诺整形术的使用情况并不统一.
观察到,在拉米诺塑性手术的使用中,存在显著的地理和培训差异.
经过骨科培训的外科医生和中西部地区的外科医生显示了更高的拉米诺整形术利用率.

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