获取途径

作者

Kong, Lu-Ming Yue, Zelin Liu, Yan Wang, Chen-Mo-Ji Wu, Jing-Guo Guan, Hua-Peng Peng, Min Li, Nian-Hu

作者单位

^dOccupational Disease Hospital, Shandong First Medical University, Shandong, Jinan, 250000, China ^cDepartment of Spine and Spinal Cord, Affiliated Hospital, Shandong University of Traditional Chinese Medicine, Shandong, Jinan, 250014, China ^bCollege of Acupuncture and Massage, Shandong University of Traditional Chinese Medicine, Shandong, Jinan, 250014, China ^aThe First Clinical College of Medicine, Shandong University of Traditional Chinese Medicine, Shandong, Jinan, 250014, China

刊名

Orthopedic Journal of China

年份

2025

卷号

Vol.33 No.10

页码

878-884

ISSN

1005-8478

关键词

correlation factors multifidus fat infiltration rate posterior lumbar interbody fusion symptomatic epidural hematoma thrombin time

摘要

[Objective] To search the factors related to symptomatic epidural hematoma after posterior lumbar interbody fusion . [Methods] The SEH group consisted of a total of 20 patients who underwent hematoma removal surgery due to SEH within 72 hours after PLIF in our hospital from January 2018 to January 2023. While the non-SEH group included 80 patients who had no SEH happened in the same period were selected by random number table method at a ratio of 1∶4. The factors related to SEH were searched by...更多

[Objective] To search the factors related to symptomatic epidural hematoma after posterior lumbar interbody fusion . [Methods] The SEH group consisted of a total of 20 patients who underwent hematoma removal surgery due to SEH within 72 hours after PLIF in our hospital from January 2018 to January 2023. While the non-SEH group included 80 patients who had no SEH happened in the same period were selected by random number table method at a ratio of 1∶4. The factors related to SEH were searched by univariate comparison and binary multiple logistic regression. [Results] As consequence of univariate comparison, the SEH group proved significantly higher proportion of females [male/female, vs , P=0.013], while significantly lower bone mineral density T value [ vs , P=0.002] and significantly longer thrombin time [ s vs s, P=0.042] than the non-SEH group. In addition, the SEH group had significantly less vertebral body cross-sectional area [ mm vs mm, P= 0.049], psoas major CSA [ mm vs mm, P vs mm, P= 0.044] than the non-SEH group. However, the SEH group had significantly greater fatty infiltration of the multifidus [% vs 8.7±8.0)%, P<0.001] and the FI of the erector spinae [% vs %, P<0.001] than the non-SEH group. Regarding to binary logistic regression analysis, the longer TT time and higher multifidus FI were risk factors for SEH after PLIF, while the larger psoas major CSA were protective factors. [Conclusion] After PLIF, SEH is associated with longer TT and higher multifidus FI, while greater psoas major CSA might significantly reduce the risk of SEH.收起

文献类型

期刊