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IF 1.6 Q3 CLINICAL NEUROLOGY

Spine deformity Pub Date : 2024-12-17 DOI:10.1007/s43390-024-01023-6

Xuepeng Wei, Go Yoshida, Tomohiko Hasegawa, Yu Yamato, Tomohiro Banno, Hideyuki Arima, Shin Oe, Koichiro Ide, Tomohiro Yamada, Kenta Kurosu, Yukihiro Matsuyama

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引用次数: 0

摘要

目的：本研究旨在调查成人脊柱畸形（ASD）手术中人口统计学、放射学和围手术期并发症的性别差异：这项回顾性队列单中心研究纳入了因脊柱畸形（ASD）而接受从胸椎到髂骨长导管融合术的患者，随访时间至少2年。研究分析了术前合并症、围手术期并发症和术后机械并发症的发生率：结果：在 323 名患者中，女性 ASD 患者较多（85.8%）。女性患者的 T 评分低于男性患者（-1.6 ± 1.1 vs. - 0.8 ± 1.0，P = 0.02）。与女性患者相比，男性患者的退行性脊柱侧弯率较低（83.4% 对 65.2%，p = 0.004），但患神经肌肉疾病的比例较高（7.6% 对 21.7%，p = 0.003）。男性患者患心血管疾病（4.0% 对 13.5%，p = 0.034）和血液透析（2.5% 对 10.8%，p = 0.035）的比例较高。此外，男性患者的夏尔森合并症指数（Charlson Comorbidity Index）高于女性患者（0.8 ± 1.1 vs. 1.4 ± 1.1，p = 0.001）。此外，男性患者手术部位感染的围手术期并发症较高（5.1% 对 15.2%，P = 0.018）。然而，近端连接失败（43.3% vs. 39.1%，p = 0.595）和杆骨折（27.8% vs. 26.1%，p = 0.81）的发生率并无差异：男性ASD患者经常出现神经肌肉疾病、术前合并症和手术部位感染等病理情况，因此需要进行仔细的术前检查和术中护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Male patients with adult spinal deformity: sex differences in demographics, radiography, and complications.

Purpose: This study aimed to investigate sex-related differences in demographics, radiography, and perioperative complications in adult spinal deformity (ASD) surgeries.

Methods: This retrospective cohort, single-center study enrolled patients who underwent long-instrumented fusion from the thoracic spine to the ilium for ASD, with a minimum follow-up of 2 years. The incidence of preoperative comorbidities, perioperative complications, and postoperative mechanical complications was analyzed.

Results: Of the 323 patients, ASD was more common in females (85.8%). The T-score in female patients was lower than that in male patients (-1.6 ± 1.1 vs.- 0.8 ± 1.0, p = 0.02). Male patients demonstrated lower rates of degenerative kyphoscoliosis (83.4% vs. 65.2%, p = 0.004) but higher rates of neuromuscular disease (7.6% vs. 21.7%, p = 0.003) than female patients. Male patients exhibited higher prevalence of cardiovascular disease (4.0% vs. 13.5%, p = 0.034) and hemodialysis (2.5% vs. 10.8%, p = 0.035). Additionally, male patients had a higher Charlson Comorbidity Index than female patients (0.8 ± 1.1 vs. 1.4 ± 1.1, p = 0.001). Moreover, male patients showed higher perioperative complications in surgical site infection (5.1% vs. 15.2%, p = 0.018). However, the incidence of proximal junctional failure (43.3% vs. 39.1%, p = 0.595) and rod fracture (27.8% vs. 26.1%, p = 0.81) was not different.

Conclusions: Male patients with ASD demonstrated frequent pathology of neuromuscular disease, preoperative comorbidities, and surgical site infection, necessitating careful preoperative checkups and intraoperative care.

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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.