成年患者骨质疏松症接受脊柱重建手术:相关并发症和管理
Zeeshan Sardar1, Josephine Coury1, David Polly2
1Department of Orthopedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Medical Center, New York, NY, USA.
Global spine journal
|July 9, 2025
概括
骨质疏松症影响10-50%的成年脊柱手术患者. 术前和术后的医疗管理,以及手术技术的修改,可以显著降低像硬件松和伪的并发症.
科学领域:
- 整形外科手术 整形外科手术
- 骨的新陈代谢 骨的新陈代谢
- 放射学 放射学是一门学科.
背景情况:
- 骨质疏松症在接受脊柱重建手术的成年人中很普遍,发病率从10%到50%不等.
- 骨质疏松症也很常见,在这些患者中影响41.4%至58.6%.
- 低于最佳的骨健康增加了手术并发症的风险.
研究的目的:
- 对接受脊柱重建手术的成年骨质疏松症患者的并发症和管理策略进行审查.
- 强调查,诊断和术后的医疗和外科管理.
- 突出目前关于优化该患者群体结果的证据.
主要方法:
- 对成年脊柱手术患者骨质疏松症研究的文献综述.
- 分析相关并发症,治疗和预防方法.
- 对诊断工具和治疗干预措施的评估.
主要成果:
- 在接受脊柱重建的患者中,骨质疏松症 (10-50%) 和骨质疏松症 (41.4-58.6%) 的高发病率.
- 双能X射线吸收计 (DEXA) 是常见的,但定量CT (QCT) 对于脊柱骨矿物质密度 (BMD) 是最佳的.
- 机会性基于CT的霍恩斯菲尔德单位 (CTHU) 与并发症相关;特里巴和手术修改 (水泥增大,阴茎固定) 显示出有前途.
结论:
- 骨质疏松症是需要脊柱重建的患者的一个重大问题.
- 优化手术前和手术后的医疗管理可以降低不良事件.
- 量身定制的外科手术技术对于解决骨健康问题和改善结果至关重要.
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