Song Jian, Zhang Yu-Xuan, Song Ke-Han, Wang Hong-Li, Zou Fei, Jiang Jian-Yuan
Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
World Neurosurg. 2018 Jun;114:e1094-e1100. doi: 10.1016/j.wneu.2018.03.152. Epub 2018 Mar 31.
To explore the predictive parameters for adjacent segment disease (ASD) after anterior cervical arthrodesis at the sagittal measurement of thoracic inlet.
We included 212 subjects treated with anterior cervical fusion surgery to identify predictive parameters for ASD. We applied multivariate logistic regression to find the relevant parameters.
Two hundred patients completed the final follow-up. The results of logistic regression analysis showed that T1 slope of less than 19.50 could be a predictive parameter of ASD after the anterior cervical arthrodesis (P < 0.05).
Sagittal balance of thoracic inlet is vital to avoid the. cervical degenerative disease, while T1 slope of less than 19.50 appears to be an independent risk factor for the ASD, keeping the T1 slope of more than 19.5 is reasonable.
探讨在胸廓入口矢状面测量中，颈椎前路融合术后相邻节段疾病（ASD）的预测参数。
我们纳入了212例行颈椎前路融合手术的患者，以确定ASD的预测参数。我们应用多因素逻辑回归分析来寻找相关参数。
200例患者完成了最终随访。逻辑回归分析结果显示，T1斜率小于19.50可能是颈椎前路融合术后ASD的一个预测参数（P < 0.05）。
胸廓入口的矢状面平衡对于避免颈椎退行性疾病至关重要，而T1斜率小于19.50似乎是ASD的一个独立危险因素，保持T1斜率大于19.5是合理的。
