在脊柱融合手术中,手术后立即放射的临床用处
Patawut Bovonratwet1, Kaitlyn E Holly1, Joshua M Coan1
1Department of Orthopedic Surgery, Mass General Brigham, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
概括
在脊髓融合手术后的常规术后X射线并不能提高重新手术率. 脊椎外科医生应该为特定的临床适用性保留这些直接的术后射线图,以尽量减少成本和辐射暴露.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 术后即时的放射图是脊柱融合后的标准实践.
- 这种做法可能会导致不必要的辐射暴露和增加医疗保健成本.
- 支持常规术后放射图的临床益处的证据有限.
研究的目的:
- 为了比较经过仪器脊柱融合的患者的90天和1年的重新手术率.
- 评估接受手术后立即放射图的患者与没有接受手术后立即放射图的患者之间的差异.
主要方法:
- 对1678名接受仪器脊柱融合 (2016-2023) 的患者进行了回顾性队列研究.
- 根据他们是否在出院前接受了立即术后放射图,患者被分组.
- 结果包括90天和1年的所有原因和机械修订,使用反向概率权重分析.
主要成果:
- 两组之间在90天或1年的所有原因修订率上没有发现显著差异.
- 在90天或1年的机械修订率中没有观察到显著差异.
- 这项研究包括了833名没有立即射线图的患者和845名有射线图的患者.
结论:
- 在脊髓融合手术后的例行立即术后放射图没有显著的临床益处.
- 应考虑仅为特定的指标,如新出现的疼痛或神经缺陷而进行放射图.
- 这种方法可以帮助减少患者的辐射暴露和医疗保健支出.
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