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Predictive factors for critical care dependency after posterior spinal fusion for adolescent idiopathic scoliosis.
The Bone & Joint Journal ( IF 4.9 ) Pub Date : 2024-07-01 , DOI: 10.1302/0301-620x.106b7.bjj-2023-1334.r1
Mohammed S Patel 1 , Siddharth Shah 1 , Mohamed K Elkazaz 1 , Masood Shafafy 1 , Michael P Grevitt 1
Affiliation  

Historically, patients undergoing surgery for adolescent idiopathic scoliosis (AIS) have been nursed postoperatively in a critical care (CC) setting because of the challenges posed by prone positioning, extensive exposures, prolonged operating times, significant blood loss, major intraoperative fluid shifts, cardiopulmonary complications, and difficulty in postoperative pain management. The primary aim of this paper was to determine whether a scoring system, which uses Cobb angle, forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and number of levels to be fused, is a valid method of predicting the need for postoperative critical care in AIS patients who are to undergo scoliosis correction with posterior spinal fusion (PSF).

中文翻译:


青少年特发性脊柱侧凸后路脊柱融合术后重症监护依赖的预测因素。



从历史上看,接受青少年特发性脊柱侧凸 (AIS) 手术的患者术后一直在重症监护 (CC) 环境中进行护理,因为俯卧位、大量暴露、手术时间延长、大量失血、术中液体转移、心肺损伤带来的挑战。并发症以及术后疼痛管理的困难。本文的主要目的是确定使用科布角、用力肺活量 (FVC)、一秒用力呼气量 (FEV1) 和要融合的级别数的评分系统是否是一种有效的预测方法需要通过后路脊柱融合术(PSF)进行脊柱侧凸矫正的 AIS 患者术后重症监护。
更新日期:2024-07-01
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