Abdelahad Georges, Marquez-Lara Alejandro, Marsh Kathleen, Jinnah Alexander, Frino John
Department of Orthopedics, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.
J Surg Orthop Adv. 2024 Spring;33(1):10-13.
The purpose of this study is to better characterize patient- and surgery-specific parameters associated with postoperative urinary retention (POUR) and assess the impact of prophylactic Tamsulosin following posterior spinal fusion (PSF) for the management of scoliosis in pediatric and adolescent patients. All patients who underwent PSF for surgical correction of adolescent idiopathic scoliosis (AIS) and neuromuscular scoliosis (NMS) between 2015 and 2019 were retrospectively reviewed. Patients were stratified based on whether they received prophylactic Tamsulosin. Overall, POUR was reported in 3.7% (n = 10) of all patients in the study, although Tamsulosin was associated with a lower rate of POUR, and this did not reach statistical significance. Longer fusion constructs were identified as a risk factor for POUR and could help surgeons counsel families prior to surgery. This is the first study to assess the rate of POUR on AIS and NMS patients following PSF without epidural analgesia. (Journal of Surgical Orthopaedic Advances 33(1):010-013, 2024).
本研究的目的是更好地描述与术后尿潴留（POUR）相关的患者和手术特定参数，并评估预防性使用坦索罗辛对小儿和青少年患者后路脊柱融合术（PSF）治疗脊柱侧弯的影响。对2015年至2019年间接受PSF手术矫正青少年特发性脊柱侧弯（AIS）和神经肌肉型脊柱侧弯（NMS）的所有患者进行了回顾性研究。根据患者是否接受预防性坦索罗辛进行分层。总体而言，本研究中所有患者中有3.7%（n = 10）报告发生了POUR，尽管坦索罗辛与较低的POUR发生率相关，但这未达到统计学意义。更长的融合结构被确定为POUR的一个危险因素，这可以帮助外科医生在手术前为家属提供咨询。这是第一项评估无硬膜外镇痛的PSF术后AIS和NMS患者POUR发生率的研究。（《外科骨科进展杂志》33(1):010 - 013, 2024）
