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논문 기본 정보

자료유형
학술저널
저자정보
Yu Xiao (Department of Orthopaedics The First Affiliated Hospital of Kunming Medical University) Bing Wang (Department of Orthopaedics The First Affiliated Hospital of Kunming Medical University) Yulian Chen (Department of ENT The First People's Hospital of Yunnan Province the Affiliated Hospital of Kunming University of Science and Technology) Lingqiang Chen (Department of Orthopaedics The First Affiliated Hospital of Kunming Medical University) Zhenkai Lou (Department of Orthopaedics The First Affiliated Hospital of Kunming Medical University) Zhiqiang Gong (Department of Orthopaedics The First Affiliated Hospital of Kunming Medical University)
저널정보
대한척추신경외과학회 Neurospine Neurospine 제20권 제1호
발행연도
2023.3
수록면
255 - 264 (10page)
DOI
10.14245/ns.2244772.386

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Objective: To identify potential risk factors for cerebrospinal fluid (CSF) leakage after crani overtebral junction (CVJ) anomaly surgery and to provide a reference for clinical practice. Methods: Sixty-six patients who underwent elective CVJ anomaly surgery during a 6-year period (April 2013 to September 2019) were retrospectively included. Research data were collected from the patients’ medical records and imaging systems. Patients were divided into CSF leak and no CSF leak groups. Univariate tests were performed to identify potential risk factors. For statistically significant variables in the univariate tests, a logistic regression test was used to identify independent risk factors for CSF leakage. Results: The overall prevalence of CSF leakage was 13.64%. Univariate tests showed that a basion-dental interval (BDI) > 10 mm and occipitalized atlas had significant intergroup dif ferences (p < 0.05). Multivariate analysis indicated that a BDI > 10 mm was an independent risk factor for CSF leakage, and patients with CVJ anomalies with a BDI > 10 mm were more likely to have postoperative CSF leaks (odds ratio, 14.67; 95% confidence interval, 1.48–30.88; p = 0.004). Conclusion: It is necessary to maintain vigilance during CVJ anomaly surgery in patients with a preoperative BDI > 10 mm to avoid postoperative CSF leaks.

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