单节段或双节段前路腰椎手术伴或不伴后路内固定术后神经根炎
Post-operative radiculitis following one or two level anterior lumbar surgery with or without posterior instrumentation.
作者信息
Griffith Matthew S, Shaw K Aaron, Burke Brian K, Jackson Keith Lynn, Gloystein David M
机构信息
Winn Army Community Hospital, Fort Stewart, Georgia.
Department of Orthopaedic Surgery, Georgia.
出版信息
J Orthop. 2021 Apr 2;25:45-52. doi: 10.1016/j.jor.2021.03.023. eCollection 2021 May-Jun.
The purpose of this study was to define risk factors for non-compression radiculitis following anterior lumbar surgery with or without posterior instrumentation and to define a time to resolution. In this study, we followed 58 consecutive patients who had anterior lumbar surgery with or without posterior instrumentation. We identified those with and without post-operative radiculitis. There as a 36.5% rate of postoperative radiculitis. We found that there was a moderate to strong correlation with height change and radiculitis ( = 0.044). Additionally patients treated with rh-BMP2 had a higher risk of developing symptoms. In all of the patients who developed postoperative radiculitis, symptoms resolved by 3 months. In conclusion 36.5% of patients developed post operative radiculitis. This was associated with the use of rh-BMP2, as well as increasing disc height through surgery. All symptoms resolved by 3 months posoperatively.
本研究的目的是确定前路腰椎手术（无论是否伴有后路内固定）后非压迫性神经根炎的危险因素，并确定症状缓解的时间。在本研究中，我们对58例接受了前路腰椎手术（无论是否伴有后路内固定）的连续患者进行了随访。我们确定了有和没有术后神经根炎的患者。术后神经根炎的发生率为36.5%。我们发现身高变化与神经根炎之间存在中度至高度相关性（P = 0.044）。此外，接受rh-BMP2治疗的患者出现症状的风险更高。在所有发生术后神经根炎的患者中，症状在3个月内缓解。总之，36.5%的患者发生了术后神经根炎。这与rh-BMP2的使用以及手术导致的椎间盘高度增加有关。所有症状在术后3个月内均得到缓解。
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