actabiomedicaActa Biomedica ScientificaActa Biomedica Scientifica2541-94202587-9596Scientific Centre for Family Health and Human Reproduction Problems10.29413/ABS.2023-8.1.12actabiomedica-3993Research ArticleНЕВРОЛОГИЯ И НЕЙРОХИРУРГИЯNEUROLOGY AND NEUROSURGERYРоль спинального жирового индекса в прогнозировании риска развития септического спондилодисцита после выполнения чрескожной лазерной декомпрессии поясничных межпозвонковых дисковThe role of spine adipose index in predicting the risk for septic spondylodiscitis after lumbar percutaneous laser disc decompressionhttps://orcid.org/0000-0001-9039-9147СтепановИ. А.StepanovI. A.

Степанов Иван Андреевич – ассистент кафедры общей хирургии, 

664003, г. Иркутск, ул. Красного Восстания, 1

Ivan A. Stepanov – Teaching Assistant at the Department of General Surgery, 

Krasnogo Vosstaniya str. 1, Irkutsk 664003

stepanovivanneuro@gmail.comhttps://orcid.org/0000-0002-3299-1924БелобородовВ. А.BeloborodovV. A.

Белобородов Владимир Анатольевич – доктор медицинских наук, профессор, заведующий кафедрой общей хирургии, 

664025, г. Иркутск, ул. Горького, 8

Vladimir A. Beloborodov – Dr. Sc. (Med.), Professor, Head of the Department of General Surgery, 

Gorkogo str. 8, Irkutsk 664025

BVA555@yandex.ruФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава РоссииIrkutsk State Medical UniversityООО «Харлампиевская клиника»Kharlampievskaya Clinic20230903202381108116Copyright © Степанов И.А., Белобородов В.А., 20232023Степанов И.А., Белобородов В.А.Stepanov I.A., Beloborodov V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.actabiomedica.ru/jour/article/view/3993Цель исследования

Цель исследования. Изучить роль спинального жирового индекса (СЖИ) в прогнозировании риска развития септического спондилодисцита после выполнения чрескожной лазерной декомпрессии (ЧЛДД) поясничных межпозвонковых дисков.

Материал и методы

Материал и методы. Выполнено ретроспективное наблюдательное одноцентровое исследование. Изучены различные клинико-инструментальные параметры, в том числе спинальный жировой индекс, потенциально являющиеся факторами риска развития постпроцедурного септического спондилодисцита.

Результаты

Результаты. В исследование включено 219 пациентов, которым выполнена процедура ЧЛДД по поводу дегенеративного заболевания поясничных межпозвонковых дисков. Средний период послеоперационного наблюдения за респондентами составил 30,8  ±  13,3  месяца. Признаки септического спондилодисцита выявлены в 5 (2,28 %) случаях. Многофакторный анализ показал, что III  степень операционно-анестезиологического риска по  шкале Американского общества анестезиологов (ASA, American Society of Anaesthesiologists) (р = 0,021), высокое значение индекса массы тела (более 25 кг/м2) (р = 0,043), а также большое значение СЖИ (свыше 0,7) (р = 0,037) статистически значимо связаны с развитием септического спондилодисцита у пациентов, перенёсших процедуру ЧЛДД на поясничном уровне.

Заключение

Заключение. Значение СЖИ статистически значимо связано с развитием спондилодисцита у пациентов, перенёсших процедуру ЧЛДД по поводу дегенеративного заболевания поясничных межпозвонковых дисков. 

The aim

The aim. To analyze the role of the spine adipose index (SAI) in predicting the risk of septic spondylodiscitis after lumbar percutaneous laser disk decompression (PLDD).

Material and methods

Material and methods. A retrospective observational single-center study was performed. Various clinical and instrumental parameters have been studied, including the spine adipose index, which are potential risk factors for the development of postprocedural septic spondylodiscitis.

Results

Results. The study included 219  patients who underwent PLDD for degenerative lumbar disk disease. The average period of postoperative observation was  30.8  ±  13.3  months. Signs of septic spondylodiscitis were detected in 5 (2.28%) cases. Multivariate analysis showed that III degree of anesthesiological risk by the American Society of Anesthesiologists (ASA) scale (p = 0.021), a high value of body mass index (more than 25 kg/m2) (p = 0.043) and a high value of SAI (over 0.7) (p = 0.037) are statistically significantly associated with the development of septic spondylodiscitis in patients who underwent lumbar PLDD.

Conclusion

Conclusion. The value of SAI is statistically significantly associated with the development of spondylodiscitis in patients who underwent PLDD for degenerative lumbar disk disease. 

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The authors declare that there are no conflicts of interest present.