门诊侧腰间体融合:单一机构连续病例系列
Nima Alan1, Katriel E Lee1, Juan Pablo Leal Isaza1
1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Journal of neurosurgery. Spine
|November 29, 2024
概括
门诊侧腰间体融合 (LLIF) 对于部分患者是可行的,其中66.4%的患者在门诊治疗. 门诊成功的关键因素包括男性性别,低再接收风险和独立结构.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 最少侵入性的手术
背景情况:
- 门诊脊椎手术提供潜在的成本节约和改善患者的结果.
- 侧腰间体融合 (LLIF) 对于需要腰部融合的部分患者来说是一个可行的选择.
研究的目的:
- 识别和比较门诊患者和住院患者的人口,临床和手术特征.
- 确定与成功的门诊LLIF相关的因素.
主要方法:
- 一个外科医生执行的单一级LLIF手术的前性收集数据库的回顾性审查.
- 对人口统计数据,并发病,手术因素,住院时间和30天再入院的分析.
- 使用ANOVA,奇平方测试和单变量/多变量逻辑回归的统计比较.
主要成果:
- 107名患者中有66.4%接受了门诊单级LLIF治疗,没有30天的再入院.
- 门诊患者更有可能是男性,LACE再录取指数较低,并且接受独立结构.
- 门诊LLIF与更短的手术时间和更低的估计血液损失有关.
结论:
- 适当的患者选择对于成功的门诊单级LLIF至关重要.
- 男性性别,低再接收风险和独立结构是门诊LLIF的重要预测因素.
- 门诊LLIF表现出良好的结果,可以降低医疗保健成本.
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