Yongdi Wang, Youwei Ai, Qian Chen, Juehan Wang, Hong Ding, Dun Luo, Zhuojie Xiao, Ce Zhu, Limin Liu
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引用次数: 0
Abstract
Purpose: The purpose of this study is to evaluate the association between ABO blood type and three bone mineral density (BMD) measurements including CT Hounsfield units (HU), vertebral bone quality (VBQ) scores, and Dual-energy x-ray absorptiometry (DEXA) in patients undergoing transforaminal lumbar interbody fusion (TLIF) for lumbar degenerative diseases (LDD) and determine the postoperative BMD-related complications and patient-reported outcomes in four ABO-type groups.
Methods: This study included patients undergoing single-level TLIF for LDD at our center from 2014 to 2020. Demographic and clinical information were collected. The correlation between ABO blood type and three BMD measurements was analyzed. Radiographic images, the visual analog scale (VAS) score of back and leg pain, and the Oswestry Disability Index (ODI) were used to compare the differences in BMD-related complications and patient-reported outcomes between four ABO-type groups.
Results: 350 patients were included in this study. ABO blood group distribution is O (33.7%), A (32.6%), B (24.6%), and AB (9.7%). The values of CT HU in four groups have a significant difference (P = 0.001). Patients with CT HU ≤ 110 were older (62.6 ± 11.6 vs. 58.4 ± 13.4, P = 0.022) and had a higher proportion of O blood type (45.2% vs. 31.3%) compared to patients with CT HU>110. There are no statistically significant differences in BMD-related complications and patient-reported outcomes between the four ABO-type groups.
Conclusion: Our study found a close connection between ABO blood type and CT HU in patients undergoing TLIF for LDD and determined O blood type is a risk factor for osteoporosis.
期刊介绍：
"European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts.
Official publication of EUROSPINE, The Spine Society of Europe
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