Faktory ovlivňující axiální příznaky po modifi kované expanzivní open-door laminoplastice
Authors:
W. He; J. Pan
Published in:
Cesk Slov Neurol N 2024; 87(4): 264-268
Category:
Original Paper
doi:
https://doi.org/10.48095/cccsnn2024264
Overview
Cíl: Našim cílem bylo sledovat frekvenci výskytu axiálních příznaků (axial symptoms, AS) po modifikované expanzivní open-door laminoplastice (EOLP) a vyhodnotit faktory ovlivňující AS. Metody: Bylo vybráno 80 pacientů, kteří od května 2020 do května 2022 podstoupili modifikovanou EOLP. Pacienti byli sledováni 12 měsíců po operaci a rozděleni na skupinu s AS a skupinu bez AS. Byla zaznamenána jejich výchozí data. Faktory ovlivňující AS po modifikované EOLP byly zkoumány pomocí binární logistické regresní analýzy. Výsledky: Během 12měsíčního sledování po modifikované EOLP se AS vyskytly u 26 (32,5 %) z 80 případů. Ve skupině s AS byla předoperační míra komprese míchy (preoperative spinal cord compression rate, PSCR) vyšší než u skupiny bez AS, pooperační vzdálenost posunu míchy vzad byla delší a pooperační rozsah pohybu (range of motion, ROM) při meziobratlové flexi-extenzi byl statisticky signifikantně menší (p < 0,05). Rizikovými faktory pro AS po modifikované EOLP byly zvýšená PSCR a zvýšená pooperační vzdálenost posunu míchy vzad (poměr šancí [OR] > 1; p < 0,05) a ochranným faktorem byl zvýšený pooperační ROM při meziobratlové flexi-extenzi (OR < 1; p < 0,05). Závěr: PSCR, pooperační vzdálenost posunu míchy vzad a pooperační ROM při meziobratlové flexi-extenzi úzce souvisí s výskytem AS po modifikované EOLP.
Klíčová slova:
axiální symptom – expanzivní open-door laminoplastika – ovlivňující faktory – rozsah pohybu
Sources
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Paediatric neurology Neurosurgery NeurologyArticle was published in
Czech and Slovak Neurology and Neurosurgery
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