减小光环背心修身器的使用:对不断变化的趋势的描述
Albert H Lee1, Rahul H Jayaram1, Jonathan N Grauer2
1Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
North American Spine Society journal
|February 24, 2026
概括
环背心整形术的使用已显著下降,儿童患者的脊柱形和老年人的宫骨折的应用增加. 早期的后续手术表明,它可以作为一种临时措施.
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
- 医疗器械使用情况 医疗器械使用情况
背景情况:
- 环形背心整形器具用于脊柱固定和变形纠正.
- 在光环背心整形术的使用中最近的趋势没有得到充分的记录.
- 本研究分析了2010年至2022年的利用模式.
研究的目的:
- 描述光环背心整形术的使用模式的变化.
- 检查患者人口统计,适应症和后续手术干预的趋势.
- 为了比较儿科,成人和老年人群的使用情况.
主要方法:
- 来自M170Ortho PearlDiver数据库 (2010-2022) 的6016名患者的分析.
- 对使用率的趋势分析,艾力沙瑟并发症指数 (ECI),性别,首要适应症和后续手术.
- 根据年龄分别分析子组:儿科 (<18岁),成人 (18-65岁) 和老年人 (>65岁).
- 统计方法包括线性回归和卡普兰-梅尔生存分析.
主要成果:
- 从2010年到2022年,整体光环背心的使用量下降了69.1%.
- 患者的平均年龄下降,儿科使用的比例显著增加.
- 脊椎形是儿科的主要症状;上部骨折在成人和老年人中占主导地位.
- 显著的百分比的儿科和老年患者接受了早期的后续手术.
结论:
- 环背心整形术的使用量有所下降,转向患有形的年轻患者和患上上部骨折的老年患者.
- 儿科的使用最近超过了老年人的使用.
- 早期的后续手术表明,光环背心经常被用作一个临时措施.
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