导致重新手术的并发症 在小儿椎骨折固定后
Benjamin R Caruso1, Suzanna M Ohlsen2, Keinan Agonias3
1Washington State University Elson S. Floyd College of Medicine, Spokane, Washington, USA.
Orthopaedic journal of sports medicine
|March 12, 2026
概括
在小儿科患者骨骨折 (TSF) 固定后的再手术通常是由于硬或前十字带 (ACL) 不足. 螺丝固定,更长的操作时间和半径陷增加了重新操作的风险.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
背景情况:
- 椎骨折 (TSFs) 是不常见的儿科损伤,需要手术固定.
- 虽然已知关节纤维化和ACL缺陷等并发症,但对重新手术的风险因素尚未完全了解.
研究的目的:
- 确定儿童TSF固定后导致重新手术的常见并发症.
- 使用多中心注册表评估与未计划的重新操作相关的风险因素.
主要方法:
- 对手术治疗的儿科TSF多中心注册表的回顾性审查 (2018年7月-2025年3月).
- 分析3级并发症 (重新手术,住院,干预性放射学).
- 双变量和多变量逻辑回归以确定3级并发症的独立风险因素.
主要成果:
- 532名儿科患者中有10.5%接受了重新手术,主要是因为硬度 (4.9%) 和ACL不足 (3.6%).
- 与固相比,螺丝固定增加了4.5倍的重新操作风险 (P=.009).
- 较长的手术时间和半月板陷也与更高的并发症率有关.
结论:
- 刚性和ACL不足是TSF固定后重新操作的主要驱动因素.
- 螺丝固定,延长的操作时间和半径陷是重新操作的重要预测因素.
- 高龄和月经管损伤增加了延迟ACL重建的风险.
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