相关实验视频

Updated: May 5, 2026

Anterior Cervical Discectomy and Fusion in the Ovine Model

Anterior Cervical Discectomy and Fusion in the Ovine Model

Published on: October 5, 2009

吸烟增加了前椎盘置换后重新手术的风险

Ishan D Shah¹, Puru Sadh¹, Sonia Sheth¹

¹Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI, USA.

|March 3, 2026

概括

吸烟增加了由于植入物不稳定性而导致前椎盘置换 (ACDR) 后的重新手术风险,尽管功能结果被保留了. 建议对吸烟者进行密切的术后监测.

科学领域:

神经外科神经外科
整形外科手术整形外科手术
脊柱外科手术脊柱外科手术

背景情况:

前椎间盘置换 (ACDR) 是一种用于椎根性病/骨髓病的运动维护手术.
烟草使用对脊髓融合的结果产生负面影响,但对ACDR的影响不太清楚.

研究的目的:

评估吸烟对 ACDR 后并发症率,放射性参数和患者报告结果 (PRO) 的影响.
为了比较吸烟者和非吸烟者接受ACDR的结果.

主要方法:

对102名接受ACDR (2017-2025) 的患者进行回顾性队列研究.
患者被分为吸烟者 (n=19) 或非吸烟者 (n=83).
分析的结果包括并发症,放射性参数 (科布角度,ROM) 和PRO (VAS,NDI) 使用统计测试和Firth逻辑回归.

主要成果:

吸烟者由于设备松动/迁移而有明显更高的重新操作率 (15.8%与1.2%,P=0.003).
两组之间没有观察到放射性对齐或PRO的显著差异.
吸烟者在术后显示出更大的细分运动范围 (ROM) (9.5°与6.8°相比,P=0.04).

结论:

在吸烟者中,ACDR保留了功能结果,但吸烟增加了重新手术的风险.
减少植入物稳定性是吸烟者重新手术增加的可能原因.
对接受ACDR的吸烟者进行加强的术后监测是有必要的.

关键词:

前椎间盘置换术 (ACDR) 是一种前椎间盘置换术.宫椎间盘关节整形术 (CDA)调整对齐的情况退行性磁盘疾病是一种退行性磁盘疾病.植入物并发症植入物并发症患者报告的结果.运动范围的范围.重新启动的运行情况.吸烟是为了吸烟.使用烟草使用烟草.

更多相关视频

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Full-Endoscopic Transforaminal Approach for Lumbar Discectomy

Published on: September 8, 2023

Surgical Technique for the Implantation of a Biomimetic Artificial Intervertebral Disc in a Goat Animal Model

Surgical Technique for the Implantation of a Biomimetic Artificial Intervertebral Disc in a Goat Animal Model

Published on: October 10, 2025

相关概念视频

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

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...