Rehabilitation Teaching and Research Unit, University of Otago, Wellington, UK.
Spinal Cord. 2010 Nov;48(11):832-7. doi: 10.1038/sc.2010.15. Epub 2010 Feb 16.
Retrospective case series.
To describe the uptake of upper limb surgery by individuals with tetraplegia in New Zealand (NZ).
New Zealand.
The clinical notes of all individuals who sustained a cervical spinal cord injury between 1 January 2001 and 31 December 2005 were retrospectively reviewed for those who met the clinical criteria to undergo upper limb surgery. Cases were cross-referenced to the hand surgery record to determine the uptake of upper limb surgery in this cohort.
The uptake of upper limb surgery for people with tetraplegia in NZ was 44% of the eligible cohort and 59% of those assessed for surgery. This is notably higher than the reported proportion in other developed countries. The data also suggested that women and those who identified as NZ Maori were less likely to undergo upper limb surgery than were men and those of NZ European ethnicity.
Utilization of upper limb surgery in the eligible tetraplegic population in NZ was high. However, it seemed that some groups were less likely to undergo surgery. Further research into the factors that affect an individual's decision to undergo upper limb surgery could explain the observed pattern.
回顾性病例系列。
描述新西兰（NZ）四肢瘫痪患者上肢手术的接受情况。
新西兰。
对 2001 年 1 月 1 日至 2005 年 12 月 31 日期间发生颈脊髓损伤的所有个体的临床记录进行回顾性审查，以确定符合接受上肢手术临床标准的个体。将病例与手部手术记录交叉引用，以确定该队列中上肢手术的接受情况。
在 NZ，四肢瘫痪患者上肢手术的接受率为符合条件队列的 44%，评估接受手术的患者的 59%。这明显高于其他发达国家的报告比例。数据还表明，与男性和新西兰欧洲裔相比，女性和自认为是新西兰毛利人的患者接受上肢手术的可能性较小。
在 NZ，有资格接受上肢手术的四肢瘫痪患者中上肢手术的利用率很高。然而，一些群体似乎不太可能接受手术。进一步研究影响个体接受上肢手术决定的因素可以解释观察到的模式。
