在颈椎神经根病患者中,关节置换术和融合手术治疗在5年内没有差异

S. Iyer
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引用次数: 0

摘要

水平[EQ-5D-3L]),手臂疼痛和颈部疼痛,再手术和邻近节段疾病)。假设标准偏差为18分,随访损失为40%,需要146例患者才能检测到组间NDI最小的临床重要10分差异(80%功率,双侧a = 0.05)。主要结果:关节置换术组和融合组在NDI、EQ-5D-3L、手臂疼痛或颈部疼痛(表1)、5年再手术(15%对12%,p = 0.61)或邻接节段疾病(0%对1.5%,p = 0.32)方面没有差异。结论:在颈椎神经根病患者中,关节置换术和融合术在5年的残疾、生活质量或疼痛方面没有差异。
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In Patients with Cervical Radiculopathy, Arthroplasty and Fusion Surgical Treatment Did Not Differ for Disability at 5 Years
Levels [EQ-5D-3L]), arm pain and neck pain, reoperations, and adjacent segment dis- ease). 146 patients were needed to detect a minimal clinically important 10-point differencein NDI (80% power, 2-sided a = 0.05) between groups, assuming a standard deviation of 18 points and 40% loss to follow-up. Main results: The arthroplasty and fusion group groups did not differ for NDI, EQ-5D-3L, arm pain, or neck pain (Table I), or for reoperations (15% vs. 12%, p = 0.61) or adjacentsegmentdisease(0%vs.1.5%,p = 0.32)at5years. Conclusion: In patients with cervical radiculopathy, arthroplasty and fusion did not differ for disability, quality of life, or pain at 5 years.
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