可扩展与网状用于治疗脊椎骨髓炎
Mitsuhiro Nishizawa1, Mladen Djurasovic2, Steven D Glassman2
1Orthopedic Surgery, University of Louisville School of Medicine, Louisville, USA.
Cureus
|February 9, 2026
概括
与网状子相比,用于脊椎骨髓炎重建的可扩展子导致更高的成本和非联合和修复手术的风险增加. 可扩展子的使用是治疗失败的独立风险因素.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形瘤学 整形瘤学
- 传染性疾病传染性疾病.
背景情况:
- 在脊椎骨髓炎中最优的前脊柱重建仍在争论中.
- 缺少网格和可扩展之间的直接比较数据.
研究的目的:
- 为了比较临床结果,包括修订率,复发率,并发症和成本,在脊椎骨髓炎前列重建的网状和可扩展之间.
- 在这个患者群体中确定治疗失败的独立风险因素.
主要方法:
- 92名脊椎骨髓炎患者的回顾性综述,这些患者接受了前列脱bridement,使用网状或可扩展子和后部融合 (≥4级).
- 在子类型之间比较非工会,修订率,复发和住院费用.
- 多变量分析以确定治疗失败的独立风险因素.
主要成果:
- 可扩展子组 (n=20) 与网状子组 (n=72) 相比,显示出明显更高的非联合率 (35%对9.7%) 和修订率 (30%对9.7%).
- 可扩展子 (77,737 ± 34,586) 的住院费用明显高于网状子 (63,250 ± 27,899) 的住院费用.
- 化水平的数量和可扩展的使用是治疗失败的独立风险因素.
结论:
- 这是第一个比较可扩展和网状子用于脊椎骨髓炎重建的研究.
- 与网状子相比,可扩展子与更高的成本和非联合和修复手术的风险增加有关.
- 可扩展子的使用是脊椎骨髓炎治疗失败的独立风险因素.
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