年龄和支架内科布角预测青少年特异性脊椎病的支架失败
Shinji Sasao1, Hiroki Oba2, Shota Ikegami1
1Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan.
对于青少年异常学脊椎病患者来说,在12岁或之后达到16°以下的初始内Cobb角度对于成功的支架结果和避免手术至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 儿科整形外科 儿科整形外科
背景情况:
- 青少年异常学脊椎病 (AIS) 是一种常见的脊椎形.
- 支架治疗是AIS的主要非手术干预.
- 确定支架治疗成功的预测因素对于优化患者的治疗结果至关重要.
研究的目的:
- 在AIS中确定支架治疗失败的独立风险因素.
- 为了检查初始内Cobb角度和曲线进展之间的相关性.
- 评估年龄,曲线类型和初始内Cobb角度对治疗成功的影响.
主要方法:
- 对80名AIS患者的回顾性分析,这些患者接受了至少2年的甲支架治疗.
- 支架治疗失败的定义:最终的科布角≥50°,手术或曲线进展≥6°.
- 多变量和ROC分析以确定治疗失败的预测因素和最佳切断值.
主要成果:
- 整体支架成功率为62%.
- 治疗失败的独立预测因素包括年轻的年龄 (切断12年) 和更高的初始内Cobb角度 (切断16°).
- 成功与较低的预处理和初始内Cobb角度以及更高的内校正率有关.
结论:
- 对于12岁及以上的患者来说,初始的内Cobb角度<16°是关键目标.
- 在初始安装时控制科布角低于16°,可能会防止明显的曲线进展.
- 这种策略可以减少AIS手术的可能性.
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