https://athenaeumpub.com/wp-content/uploads/Prevalence-of-Work-related-Musculoskeletal-Disorders-in-Early-Onset-Scoliosis-Surgeons.pdf

R. F. Murphy
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引用次数: 0

摘要

背景:对早发性脊柱侧弯症(EOS)的手术治疗涉及重复性操作,这可能使外科医生面临与工作相关的肌肉骨骼疾病(MSD)风险。本研究旨在评估外科医生自我归因于 EOS 手术的 MSD 发病率:方法:邀请国际研究小组的外科医生参与一项包含 41 个问题的调查,并对培训后拥有 5 年或 5 年以上工作经验的外科医生的数据进行分析。调查内容包括人口统计学、重复性 EOS 手术直接导致的 MSD 发生率、MSD 解剖位置和治疗类型:共有 60 名受访者符合条件。大多数受访者为男性(51/60,85%),平均年龄为 53 岁(36-78 岁不等),平均从业年限为 20 年(5-47 年不等)。他们平均每年进行 102 例脊柱手术(12-300 例不等)。共报告了 117 例 MSD,其中最常见的是颈椎(30 例)、腰椎(28 例)和腕部/手部(27 例)。在 60 名受访者中,49 人(82%)报告了至少一种 MSD;17 人(30%)遭受过 2 次不同的 MSD,18 人(30%)遭受过 3 次或更多次 MSD。在报告了至少一次 MSD 的受访者中,29 名受访者(59%)接受了治疗;最常见的治疗方法是注射(12/49,25%)、物理或职业治疗(6/49,12%)和手术(6/49,12%)。年龄与肩部或肩袖区域MSD发病率之间存在明显关系(r=0.38;p=0.002):在由60名EOS外科医生组成的队列中,超过80%的人至少患有1种MSD,他们自我归因于EOS手术,最常见的病症是颈椎和腰椎,58%的人报告的病症多于1种。六名参与者(10%)因直接归因于 EOS 手术的 MSD 而接受了手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
https://athenaeumpub.com/wp-content/uploads/Prevalence-of-Work-related-Musculoskeletal-Disorders-in-Early-Onset-Scoliosis-Surgeons.pdf
Background: Surgical treatment of Early Onset Scoliosis (EOS) involves operations with repetitive maneuvers that may put a surgeon at risk for a work-related Musculoskeletal Disorder (MSD). The purpose of this study was to evaluate the prevalence of MSDs that surgeons self-attributed to EOS operations. Methods: Surgeons in an international study group were invited to participate in a 41-question survey and data was analyzed from surgeons with 5 or more years of experience post training. This included demographics, occurrence of an MSD directly attributed to repetitive EOS surgery, MSD anatomic location and treatment type. Results: A total of 60 respondents qualified. Most respondents were male (51/60, 85%), with a mean age of 53 (range 36-78) and a mean of 20 years in practice (range 5-47). They reported a mean of 102 spine surgeries per year (range 12-300). A total of 117 MSDs were reported; the most common being cervical spine (30), lumbar spine (28) and wrist/hand (27). Of the 60 respondents, 49 (82%) reported at least one; 17 (30%) sustained 2 separate MSDs and 18 (30%) sustained 3 or more MSDs. Of those who reported at least one MSD, 29 respondents (59%) underwent treatment; the most common being injection (12/49, 25%), physical or occupational therapy (6/49, 12%) and surgery (6/49, 12%). There was a significant relationship between age and the prevalence of MSDs in the shoulder or rotator cuff region (r=0.38; p=0.002). Conclusion: In a cohort of 60 EOS surgeons, more than 80% have sustained at least 1 MSD they self-attributed to EOS surgery, with the most frequent conditions affecting the cervical and lumbar spine and 58% reported >1 condition. Six participants (10%) underwent surgical treatment for an MSD they directly attributed to EOS surgery.
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