Multivariate analysis of pedicle screw invasion of the proximal facet joint after lumbar surgery
Autor: | Wang, Peng Tao, Zhang, Jia Nan, Liu, Tuan Jiang, Yang, Jun Song, Hao, Ding Jun |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: |
musculoskeletal diseases
Lumbar Vertebrae Research Pedicle screw Proximal facet joint Diseases of the musculoskeletal system Middle Aged Zygapophyseal Joint Spinal Fusion Rheumatology Multivariate analysis RC925-935 Pedicle Screws Lumbar surgery Humans Orthopedics and Sports Medicine Spondylolisthesis |
Zdroj: | BMC Musculoskeletal Disorders, Vol 23, Iss 1, Pp 1-7 (2022) BMC Musculoskeletal Disorders |
ISSN: | 1471-2474 |
Popis: | Background To analyze the risk factors for pedicle screw invasion of the proximal facet joint after lumbar surgery. Methods From January 2019 to January 2021, 1794 patients with lumbar degenerative disease, such as lumbar disc herniation, lumbar spinal stenosis and lumbar spondylolisthesis, were treated at our hospital. In all, 1221 cases were included. General data (sex, age, BMI), bone mineral density, proximal facet joint angle, degenerative lumbar spondylolisthesis, isthmic lumbar spondylolisthesis and fixed segment in the two groups were recorded. After the operation, vertebral CT of the corresponding surgical segments was performed for three-dimensional reconstruction and evaluation of whether the vertebral arch root screw interfered with the proximal facet joint. The included cases were divided into an invasion group and a noninvasion group. Univariate analysis was used to screen the risk factors for pedicle screw invasion of the proximal facet joint after lumbar surgery, and the selected risk factors were included in the logistic model for multivariate analysis. Results The single-factor analysis showed a significant difference in age, BMI, proximal facet joint angle, degenerative lumbar spondylolisthesis, and fixed segment (P P 28 kg/m2 (P P P P 45°: P P Conclusion Age (≥ 50 years old), BMI (> 28 kg/m2), proximal facet joint angle (35 ~ 45°, > 45°), degenerative lumbar spondylolisthesis, isthmic lumbar spondylolisthesis and fixed segment (lower lumbar spine) are independent risk factors for pedicle screw invasion of the proximal facet joint after lumbar surgery. Compared with degenerative lumbar spondylolisthesis, facet joint intrusion is more likely in isthmic lumbar spondylolisthesis. |
Databáze: | OpenAIRE |
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