斜外侧椎体间融合术后疗效不满意需要额外干预的风险因素。

IF 3.8 2区 医学 Q1 CLINICAL NEUROLOGY
Neurospine Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI:10.14245/ns.2448344.172
Worawat Limthongkul, Bandid Chaiwongwattana, Stephen J Kerr, Teerachat Tanasansomboon, Vit Kotheeranurak, Wicharn Yingsakmongkol, Weerasak Singhatanadgige
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引用次数: 0

摘要

目的:斜侧椎体间融合术(OLIF)是一种微创手术,用于稳定脊柱并间接为神经元减压。关于 OLIF 术后需要额外干预(手术或干预)的不满意结果的数据很少。本研究旨在确定这些再次干预的原因和风险因素:这是一项单中心回顾性研究,研究对象为2016年6月至2023年3月期间接受OLIF手术的患者。研究了多项临床和放射学参数。我们还分析了几个潜在风险因素与 OLIF 术后再次介入之间的关联:结果:共纳入 231 名患者。在平均2.5年的随访中,28名患者(12.1%)需要再次介入治疗。邻近节段疾病(ASD)是导致再次手术的最常见原因。与再介入相关的风险因素是既往手术(调整后的比值比 [aOR],4.44;95% 置信区间 [CI],1.21-16.33;P=0.02)和术前高 Oswestry 失能指数 (ODI) 评分(aOR,1.04;95% 置信区间 [CI],1.00-1.08;P=0.03)。虽然随访时间的延长并无统计学意义,但95% CI显示随访时间越长,再次干预的风险越高(OR,1.18;95% CI,0.94-1.50):该研究表明,曾接受过腰椎手术且术前ODI评分较高的患者在OLIF术后更有可能需要额外干预。此外,随访时间越长,再次干预的风险越高。OLIF 术后再次干预的最常见原因是 ASD。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk Factors of Unsatisfactory Outcomes Requiring Additional Intervention Following Oblique Lateral Interbody Fusion.

Objective: Oblique lateral interbody fusion (OLIF) is a minimally invasive procedure for stabilizing the spine and indirectly decompressing the neural elements. There is sparse data on unsatisfactory outcomes that require additional interventions (surgery or intervention) after OLIF. This study aimed to identify the causes, and risk factors of these reintervention.

Methods: This was a single-center retrospective study of the patients who underwent the OLIF procedure from June 2016 to March 2023. Several clinical and radiographic parameters were studied. We also analyzed associations between several potential risk factors and the reintervention following OLIF.

Results: A total of 231 patients were included. Over an average of 2.5 years of follow-up, 28 patients (12.1%) required a reintervention. Adjacent segment disease (ASD) was the most common cause of reintervention. The risk factors associated with reintervention were previous surgery (adjusted odds ratio [aOR], 4.44; 95% confidence interval [CI], 1.21-16.33; p=0.02) and high preoperative Oswestry Disability Index (ODI) scores (aOR, 1.04; 95% CI, 1.00-1.08; p=0.03). Although increasing the duration of follow-up was not statistically significant, the 95% CI was consistent with an increased risk of reintervention with longer follow-up (OR, 1.18; 95% CI, 0.94-1.50).

Conclusion: This study showed that patients with prior lumbar surgery and high preoperative ODI scores were more likely to require additional intervention after the OLIF procedure. In addition, an increasing duration of follow-up was associated with an increased risk of reintervention. The most common reason for reintervention was ASD after OLIF.

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来源期刊
Neurospine
Neurospine Multiple-
CiteScore
5.80
自引率
18.80%
发文量
93
审稿时长
10 weeks
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