相关实验视频

Updated: May 7, 2026

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

肥胖对脊柱外科手术时间的影响:定量分析

Haseeb E Goheer¹, Mina Botros¹, Andrew R Leggett¹

¹Department of Orthopaedic Surgery & Physical Performance, University of Rochester Medical Center, Rochester, NY, USA.

Global spine journal

|August 20, 2025

概括

肥胖增加了脊椎手术的手术时间,特别是后腰融合 (PLF) 与前椎切除和融合 (ACDF) 相比. 较长的手术时间增加了两种手术的伤口并发症和手术感染的风险.

科学领域:

脊椎手术
手术的结果
肥胖研究

背景情况:

在脊椎外科手术中, 肥胖问题越来越严重.
肥胖对手术时间和后续并发症的影响需要进一步阐明.

研究的目的:

调查肥胖 (按BMI测量) 如何影响单级前椎切除和融合 (ACDF) 和后腰融合 (PLF) 的手术时间.
确定手术时间对ACDF和PLF后的伤口并发症和手术感染的影响.

主要方法:

使用美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库的回顾性队列研究.
包括接受单级ACDF或PLF的患者.
多变量回归分析以评估BMI,手术时间和并发症之间的关系.

主要成果:

每个单位的BMI增加与ACDF操作时间的0. 38分钟增加和PLF操作时间的0. 84分钟增加相关.
增加的手术时间 (第25至第75百分位) 增加了伤口并发症的概率17.1% (ACDF) 和19.7% (PLF).
增加的手术时间增加了手术后感染的概率30.0% (ACDF) 和12.5% (PLF).

结论:

与ACDF相比,较高的BMI导致PLF的手术时间更显著增加.
在ACDF和PLF中,延长的手术时间增加了伤口并发症和手术感染的可能性.
这项研究为首次在脊椎外科手术中发现肥胖与手术时间的关联.

关键词:

发生并发症肥胖问题操作时间结果脊柱

更多相关视频

Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis

Published on: March 23, 2019

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

相关概念视频

Muscles of the Vertebral Column

Muscles of the Vertebral Column

The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...

Herniated Intervertebral Disc l: Introduction

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...