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在退行性疾病中分阶段或同一天环腰融合:哪种方法更安全?

Henry Avetisian¹, Mirbahador Athari¹, William Karakash¹

¹Department of Orthopaedic Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA.

Global spine journal

|April 14, 2025

概括

阶段环腰融合 (cLF) 在11.40%的病例中使用,并且与增加的再入院和并发症有关. 然而,它不是这些结果的独立风险因素.

科学领域:

脊柱外科手术脊柱外科手术
整形外科手术整形外科手术
神经外科神经外科

背景情况:

腰部退行性疾病需要手术干预.
周围腰部融合 (cLF) 是一种常见的手术方法.
在同一天和分阶段的cLF之间做出选择会影响患者的结果.

研究的目的:

分析同一天和分阶段环腰融合 (cLF) 使用的趋势.
为了比较同一天和分阶段cLF之间的30天并发症和再入院率.
评估两种手术方法的长期修订率.

主要方法:

使用PearlDiver国家数据库进行回顾性队列研究.
分析了2010年至2021年期间接受cLF的45,204名患者.
多变量回归调整为患者人口统计学和并发症.

主要成果:

阶段性cLF在11.40%的病例中进行,每年增加.
阶段性手术与更高的并发病率和更长的融合结构有关.
阶段性cLF显示30天再入院和各种并发症的风险明显更高,但不是修订率.

结论:

阶段性cLF越来越多地被使用,特别是在高风险患者和更长的融合中.
虽然与短期并发症和再入院的增加有关,但分期并不是一个独立的风险因素.
需要进一步的研究来确定阶段性cLF的最佳候选人.

关键词:

环形环形环形的周长为并发症可能导致并发症.这是一种退行性退行性.融合融合融合融合融合融合融合融合融合融合腰部腰部腰部腰部

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