• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

脊柱手术医源性脊髓损伤的危险因素：一项多中心回顾性研究。

Risk factors of iatrogenic spinal cord injury in spinal surgery: a multicenter retrospective study.

机构信息

Department of Orthopedic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Int J Neurosci. 2012 Oct;122(10):606-10. doi: 10.3109/00207454.2012.700660. Epub 2012 Jul 24.

DOI:10.3109/00207454.2012.700660
PMID:22694137
Abstract

OBJECTIVE

To investigate the risk factors of iatrogenic spinal cord injury (SCI) in spinal surgery.

METHODS

79 cases were abstracted according to inclusion and exclusion criteria, control cases were matched to patients abstracted by the ratio of 1:3. Unary and multivariate logistic regression analysis were performed to check out the risk factors of iatrogenic SCI and their strength associated with iatrogenic SCI.

RESULTS

Age, gender, hypertension history, preoperative spinal cord function, and involved segments were risk factors of iatrogenic SCI. DM history and manifestation of MRI had little relativity with iatrogenic SCI.

CONCLUSIONS

Surgeons should have knowledge of risk factors of iatrogenic SCI, and be more careful, strict, and cautious in operations, especially faced with high risk groups, in order to preventing patients from iatrogenic SCI in spinal surgery.

摘要

目的

探讨脊柱手术中医源性脊髓损伤（SCI）的危险因素。

方法

根据纳入和排除标准，共提取了 79 例病例，按 1:3 的比例与患者进行配对。采用单因素和多因素 logistic 回归分析，筛选出医源性 SCI 的危险因素及其与医源性 SCI 的相关性。

结果

年龄、性别、高血压病史、术前脊髓功能和受累节段是医源性 SCI 的危险因素。糖尿病病史和 MRI 表现与医源性 SCI 的相关性较小。

结论

外科医生应了解医源性 SCI 的危险因素，在手术中更加小心、严格、谨慎，特别是面对高危人群，以预防脊柱手术中的医源性 SCI。

相似文献

1
Risk factors of iatrogenic spinal cord injury in spinal surgery: a multicenter retrospective study.脊柱手术医源性脊髓损伤的危险因素：一项多中心回顾性研究。
Int J Neurosci. 2012 Oct;122(10):606-10. doi: 10.3109/00207454.2012.700660. Epub 2012 Jul 24.
2
Thromboprophylaxis in spinal trauma surgery: consensus among spine trauma surgeons.脊柱创伤手术中的血栓预防：脊柱创伤外科医生的共识
Spine J. 2009 Jul;9(7):530-6. doi: 10.1016/j.spinee.2009.01.008. Epub 2009 Feb 28.
3
Iatrogenic spinal cord injury: an observational study.医源性脊髓损伤：一项观察性研究。
Spinal Cord. 2011 Dec;49(12):1188-92. doi: 10.1038/sc.2011.72. Epub 2011 Jul 26.
4
Characterization of neurophysiologic alerts during anterior cervical spine surgery.颈椎前路手术期间神经生理警报的特征分析
Spine (Phila Pa 1976). 2006 Aug 1;31(17):1916-22. doi: 10.1097/01.brs.0000228724.01795.a2.
5
Risk of venous thromboembolism after spinal cord injury: not all levels are the same.脊髓损伤后静脉血栓栓塞的风险：并非所有节段都相同。
J Trauma. 2011 Nov;71(5):1241-5. doi: 10.1097/TA.0b013e318235ded0.
6
Thromboprophylaxis in traumatic and elective spinal surgery: analysis of questionnaire response and current practice of spine trauma surgeons.创伤性和择期脊柱手术中的血栓预防：脊柱创伤外科医生问卷调查回复分析和当前实践。
Spine (Phila Pa 1976). 2010 Feb 1;35(3):323-9. doi: 10.1097/BRS.0b013e3181ca652e.
7
Surgical site infection in spinal surgery: description of surgical and patient-based risk factors for postoperative infection using administrative claims data.脊柱手术部位感染：使用行政索赔数据描述术后感染的手术和患者相关危险因素。
Spine (Phila Pa 1976). 2012 Jul 1;37(15):1340-5. doi: 10.1097/BRS.0b013e318246a53a.
8
Major neurologic deficit immediately after adult spinal surgery: incidence and etiology over 10 years at a single training institution.成人脊柱手术后立即出现的严重神经功能缺损：单一培训机构10年期间的发病率及病因
J Spinal Disord Tech. 2009 Dec;22(8):565-70. doi: 10.1097/BSD.0b013e318193452a.
9
Impact of multimodal intraoperative monitoring during surgery for spine deformity and potential risk factors for neurological monitoring changes.多模式术中监测在脊柱畸形手术中的影响及神经监测变化的潜在危险因素
J Spinal Disord Tech. 2012 Jun;25(4):E108-14. doi: 10.1097/BSD.0b013e31824d2a2f.
10
[Injury to major blood vessels in anterior thoracic and lumbar spinal surgery].[胸腰椎前路手术中主要血管损伤]
Acta Chir Orthop Traumatol Cech. 2006 Apr;73(2):92-8.

引用本文的文献

1
A Clinical Practice Guideline on the Timing of Surgical Decompression and Hemodynamic Management of Acute Spinal Cord Injury and the Prevention, Diagnosis, and Management of Intraoperative Spinal Cord Injury: Introduction, Rationale, and Scope.急性脊髓损伤手术减压时机与血流动力学管理以及术中脊髓损伤的预防、诊断和管理临床实践指南：引言、理论依据和范围
Global Spine J. 2024 Mar;14(3_suppl):10S-24S. doi: 10.1177/21925682231183969.
2
Definition, Frequency and Risk Factors for Intra-Operative Spinal Cord Injury: A Knowledge Synthesis.术中脊髓损伤的定义、发生率及危险因素：一项知识综合分析
Global Spine J. 2024 Mar;14(3_suppl):80S-104S. doi: 10.1177/21925682231190613.
3
A Clinical Practice Guideline for Prevention, Diagnosis and Management of Intraoperative Spinal Cord Injury: Recommendations for Use of Intraoperative Neuromonitoring and for the Use of Preoperative and Intraoperative Protocols for Patients Undergoing Spine Surgery.
《术中脊髓损伤的预防、诊断与管理临床实践指南：术中神经监测的使用建议以及脊柱手术患者术前和术中方案的使用建议》
Global Spine J. 2024 Mar;14(3_suppl):212S-222S. doi: 10.1177/21925682231202343.
4
Validity of evoked potential as biomarker for predicting early neural function changes after thoracic spinal decompression surgery in patients with neurological deficits.诱发电位作为预测神经功能缺损患者胸段脊柱减压术后早期神经功能变化的生物标志物的有效性。
Eur Spine J. 2024 Mar;33(3):924-931. doi: 10.1007/s00586-023-07893-0. Epub 2023 Nov 27.
5
Safety and Efficacy of Minimally Invasive Transforaminal Lumbar Interbody Fusion Combined with Gelatin Sponge Impregnated with Dexamethasone and No Drainage Tube after Surgery in the Treatment of Lumbar Degenerative Disease.微创经椎间孔腰椎体间融合术联合术后浸以地塞米松明胶海绵不置引流管治疗腰椎退行性疾病的安全性和有效性。
Orthop Surg. 2021 May;13(3):1077-1085. doi: 10.1111/os.12929. Epub 2021 Mar 21.
6
Multimodal intraoperative monitoring during reduction of spine burst fracture and dislocation prevents neurologic injury.脊柱爆裂骨折和脱位复位过程中的多模式术中监测可预防神经损伤。
Medicine (Baltimore). 2018 Mar;97(10):e0066. doi: 10.1097/MD.0000000000010066.
7
Risk factors in iatrogenic spinal cord injury.医源性脊髓损伤的危险因素。
Spinal Cord. 2017 Sep;55(9):818-822. doi: 10.1038/sc.2017.21. Epub 2017 Apr 4.
8
Epidemiology of persistent iatrogenic spinal cord injuries in Western Norway.挪威西部持续性医源性脊髓损伤的流行病学
Brain Behav. 2016 Jul 7;6(10):e00522. doi: 10.1002/brb3.522. eCollection 2016 Oct.