3D-CT reconstruction for pedicle outer width assessment in patients with thoracolumbar spine fractures: a comparative analysis between age groups <60 years and ≥60 years

doi:10.3389/fsurg.2024.1407484

科研成果详情

题名	3D-CT reconstruction for pedicle outer width assessment in patients with thoracolumbar spine fractures: a comparative analysis between age groups <60 years and ≥60 years
作者	He, Qiang 1,2; Yan, Yifeng 3; Mei, Jie 1; Xie, Chengxin 4,5; Sun, Xin 1
发表日期	2024-07-03
发表期刊	FRONTIERS IN SURGERY 影响因子和分区
语种	英语
原始文献类型	Article
关键词	three-dimensional CT reconstruction thoracolumbar spine fracture pedicle outer width osteoporosis vertebral fractures vertebral pedicle
其他关键词	MANAGEMENT
摘要	Objective: This study aims to compare the utilization of 3D-CT reconstruction in measuring pedicle outer width (POW) between younger/middle-aged patients (<60 years) and older patients (>= 60 years) with thoracolumbar spine fractures (TSF). Methods: We conducted a retrospective study from January 2021 to December 2022, involving a total of 108 patients with TSF. The study population consisted of 62 patients aged >= 60 years (observation group) and 46 patients aged <60 years (control group). We compared the POW on both the right and left sides of the thoracolumbar spine between the two groups. Additionally, we analyzed the POW by gender within each group and calculated the incidence of patients falling below the critical values for arch root puncture (5 mm) and arch root nailing (7 mm) in both groups. Results: There were no statistically significant differences observed in the POW between the two groups on both the left and right sides of each corresponding vertebra (P > 0.05). In the observation group, both male and female patients had significantly smaller POW compared to the control group (P < 0.05). However, no significant difference in POW was observed between the same-sex groups in the L4 to L5 vertebrae (P > 0.05). In the observation group, the POW was less than 5 mm in 9.33% (81/868) of cases and less than 7 mm in 49.88% (433/868) of cases, primarily observed from T11 to L3. In the control group, 4.81% (31/644) of cases had a POW of less than 5 mm, and 13.81% (88/644) had a POW of less than 7 mm. Conclusion: Utilizing preoperative 3D-CT reconstruction to measure POW in patients with TSF not only facilitates the assessment of surgical feasibility but also aids in surgical pathway planning, thus potentially reducing the incidence of postoperative complications.
资助项目	Science and Technology Project of Jiangsu Province [SBE2021740210]
出版者	FRONTIERS MEDIA SA
ISSN	2296-875X
卷号	11
DOI	10.3389/fsurg.2024.1407484
页数	6
WOS类目	Surgery
WOS研究方向	Surgery
WOS记录号	WOS:001268586100001
收录类别	SCIE ; PUBMED
URL	查看原文
PubMed ID	39027918
通讯作者地址	[Sun, Xin]Nanjing Univ Chinese Med, Dept Orthoped, Nanjing Hosp Tradit Chinese Med, Nanjing, Peoples R China. ; [Xie, Chengxin]Shandong First Med Univ, Fac Grad Studies, Jinan, Peoples R China. ; [Xie, Chengxin]Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Orthoped, Taizhou, Peoples R China.
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/216703
专题	其他_附属台州医院（浙江省台州医院）
通讯作者	Xie, Chengxin; Sun, Xin
作者单位	1.Nanjing Univ Chinese Med, Dept Orthoped, Nanjing Hosp Tradit Chinese Med, Nanjing, Peoples R China; 2.Shandong Univ Tradit Chinese Med, Dept Orthoped, Affiliated Hosp, Jinan, Peoples R China; 3.Jiangsu Prov Second Hosp Tradit Chinese Med, Dept Orthoped, Nanjing, Peoples R China; 4.Shandong First Med Univ, Fac Grad Studies, Jinan, Peoples R China; 5.Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Orthoped, Taizhou, Peoples R China
通讯作者单位	其他_附属台州医院（浙江省台州医院）
推荐引用方式 GB/T 7714	He, Qiang,Yan, Yifeng,Mei, Jie,et al. 3D-CT reconstruction for pedicle outer width assessment in patients with thoracolumbar spine fractures: a comparative analysis between age groups <60 years and ≥60 years[J]. FRONTIERS IN SURGERY,2024,11.
APA	He, Qiang, Yan, Yifeng, Mei, Jie, Xie, Chengxin, & Sun, Xin. (2024). 3D-CT reconstruction for pedicle outer width assessment in patients with thoracolumbar spine fractures: a comparative analysis between age groups <60 years and ≥60 years. FRONTIERS IN SURGERY, 11.
MLA	He, Qiang,et al."3D-CT reconstruction for pedicle outer width assessment in patients with thoracolumbar spine fractures: a comparative analysis between age groups <60 years and ≥60 years".FRONTIERS IN SURGERY 11(2024).