导航在儿科脊椎手术中的日益使用:趋势和因素
Vivien Chan1,2, Suhas Etigunta1, Adeesya Gausper1
1Cedars Sinai Spine, Cedars Sinai Medical Center, Los Angeles, CA.
Journal of pediatric orthopedics
|February 6, 2026
概括
在儿科脊柱形手术中,脊柱导航的使用从2016年到2022年显著增加. 诸如形诊断和骨盆仪器仪表等因素与更高的导航采用有关.
科学领域:
- 儿科整形外科 儿科整形外科
- 脊柱形纠正 脊柱形纠正
- 手术导航技术 手术导航技术
背景情况:
- 脊柱导航在成人脊柱手术中很常见.
- 它在儿科脊柱形手术中的采用需要描述.
研究的目的:
- 分析脊柱导航在儿科脊柱形手术中的使用趋势.
- 为了确定与这一群体的导航采用相关的因素.
主要方法:
- 使用NSQIP儿科数据库 (2016-2022) 进行回顾性队列研究.
- 包括17岁或更年轻的患者,因为形而经历后脊髓融合.
- 分析了随时间推移和患者/外科因素的导航使用比例.
主要成果:
- 导航使用率从2016年的2.0%增加到2022年的15.6% (P<0.001).
- 在阴影病例,手术水平较高的手术和带有骨盆仪器的手术中观察到更高的比率.
- 儿童神经外科使用导航比儿童整形外科使用导航更多 (17.7%对比8.3%).
- 导航病例显示较低的异构输血率但更长的手术时间.
结论:
- 脊柱导航在儿科脊柱形手术中的使用正在增加.
- 患者和外科特征影响导航采用率.
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