Brief review
이 연구는 한 학회에 참가한 척추전문의들에게 본인의 환자에게 보조기를 사용하는 것과 관련하여 설문을 진행한 질의연구 입니다.
설문의 초점은 외과의들이 환자 수술 후에 사용하는 보조기의 종류, 치료기간,
사용이유 등에 관한 것 입니다.
응답자들이 수술을 마친 본인의 환자들에게 보조기를 사용 할 때에, 고정을 위한 가장 적절한 종류,
기간, 적응증에 따른 합의가 부족하다는 결론입니다.
*Title:
Postoperative bracing after spine surgery for degenerative conditions
: a
questionnaire study
퇴행성질환을 위한
척추수술 후의 보조기 착용:
질의 연구
*Author: Jesse E. Bible, Debdut Biswas, Peter G. Whang,
Andrew K. Simpson, Glenn R. Rechtine, Jonathan N. Grauer
Background context:
-A variety of orthoses are routinely applied after spinal
procedures.
-But the proper indications for postoperative bracing are
not well established.
Purpose
To assess the postoperative bracing patterns of spine
surgeons.
Study design/setting
Questionnaire study
Patient sample
Spine surgeons attending the “Disorders of the Spine”
conference (January 2008, Whistler, Canada).
Outcome measures
Frequencies of bracing after specific surgical
procedures.
Methods
▶Subject:
spine surgeons attending the “Disorders of the Spine” conference.
▶Questionnaire contents: typically immobilize patients after
specific spinal procedures, the type of orthosis used, the duration of
treatment, the rationale for bracing.
Results
-Ninety-eight of 118 surgeons completed the survey
(response rate: 83%).
1. The frequency of bracing in academic and private/ in orthopedic
and neurosurgical practices
--> similar
2.The difference in the bracing tendencies of fellowship
and non-fellowship trained surgeons: -----> statistically significant
(61% vs. 46%, p<.0001).
3. The duration (clinical experience): no influence the
propensity of surgeons to use orthoses.
4. Employed more regularly: after cervical surgery > lumbar
surgery (63% vs. 49%, p<.0001).
6. In the anterior cervical spine, orthoses were used
more often as the complex procedure.
(increased single --▶
multilevel constructs (55% vs. 76%, p<.0001) )
7. The frequencies of bracing in noninstrumented and
instrumented lumbar fusions
-->not significantly different.
Conclusions
-Most of the respondents brace their patients
postoperatively, there is an obvious lack of consensus regarding the most
appropriate type, duration, and indications for immobilization.
-Clinical studies may play a helpful role in evaluating
the efficacy of postoperative bracing protocols.
