外科治疗的脊椎骨髓炎和退行性脊柱炎患者的生活质量。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-10-01 Epub Date: 2023-09-22 DOI:10.1055/a-2151-5022
Frank Beyer, Ayla Yagdiran, Peer Eysel, Jan Bredow
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摘要

脊椎骨髓炎(VO)和退行性脊椎滑脱(SL)是两种常见的脊柱疾病。因此,在所提出的工作中,使用已建立的评分来比较这两个实体的手术治疗后的生活质量。在一项单中心研究中,所有VO和SL患者都使用Spine Tango注册表进行了前瞻性入组。外科手术包括对受影响的节段进行一次或两次融合。在t0(0个月)、t1(12个月)和t2(24个月)时间点,使用核心结果测量指数(COMI)和奥斯韦斯特里残疾指数(ODI)评估生活质量。采用SPSS软件进行统计分析。显著性水平设定为5%。52名VO患者和48名SL患者被纳入分析。年龄和性别分布没有显著差异。SL组的住院时间明显缩短(p
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Quality of Life with Respect to Surgically Treated Vertebral Osteomyelitis and Degenerative Spondylolisthesis.

Vertebral osteomyelitis (VO) and degenerative spondylolisthesis (SL) are 2 commonly treated spinal conditions. Therefore, in the presented work, the quality of life after surgical therapy of these 2 entities is compared using established scores.In a monocentric study, all patients with VO and SL were prospectively enrolled using the Spine Tango Registry. Surgical procedures included one- or two-stage fusion of the affected segments. Quality of life was assessed using the Core Outcome Measures Index (COMI) and the Oswestry Disability Index (ODI) at time points t0 (0 months), t1 (12 months), and t2 (24 months). Statistical analysis was performed using SPSS. The level of significance was set at 5%.52 patients with VO and 48 patients with SL were included in the analysis. There were no significant differences in age and gender distribution. The length of stay in the SL group was significantly shorter (p < 0.001). ODI at time t0 was significantly higher in the VO group (p < 0.001), whereas COMI scores did not differ significantly (p = 0.155). At time points t1 and t2, the differences between the VO and SL groups were not significantly different for either the ODI score (p = 0.176; p = 0.250) or the COMI score (p = 0.682; p = 0.640).Postoperative quality of life scores after lumbar fusion surgery in SL and VO are comparable despite different indications and medical conditions. In both groups, similar quality of life with in patient with chronic back pain was achieved. This should be considered for the preoperative assessment, as well as for the indication for surgery in SL.

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