Predictive efficacy of serum NLRP3,CysC and Neuritin in postoperative neurological function recovery in patients with spinal fracture complicated with spinal cord nerve injury
10.3969/j.issn.1673-4130.2025.08.004
- VernacularTitle:血清NLRP3、CysC、Neuritin对脊柱骨折合并脊髓神经损伤患者术后神经功能恢复的预测效能
- Author:
Ye YUAN
1
;
Tianzhu WANG
;
Tong CHEN
;
Shuai CHENG
;
Shaoji YUAN
Author Information
1. 山东省公共卫生临床中心神经外二科,山东济南 250031
- Keywords:
spinal fracture;
spinal cord nerve injury;
nucleotide-binding oligomeric domain-like recep-tor protein 3;
cystatin C;
Neuritin
- From:
International Journal of Laboratory Medicine
2025;46(8):915-920
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive efficacy of serum nucleotide-binding oligomeric domain-like receptor protein 3(NLRP3),cystatin C(CysC)and Neuritin in postoperative neurological function recov-ery in patients with spinal fracture complicated with spinal cord nerve injury(SCI).Methods A total of 107 patients with spinal fracture complicated with SCI from July 2021 to July 2023 were selected and followed up for 6 months after treatment.They were divided into good recovery group(76 cases)and poor recovery group(31 cases)according to postoperative neurological function recovery.The clinical data,serum NLRP3,CysC and Neuritin levels of the two groups were compared,and the correlation of serum NLRP3,CysC,Neuritin and Frankel grades and their effects on postoperative neurological function recovery were analyzed.The predictive efficacy of serum NLRP3,CysC and Neuritin on postoperative neurological recovery was evaluated.Results There were statistically significant differences between the two groups in the proportion of time from injury to hormone drug use ≥8 h,vertebral canal encroachation rate≥50％and Frankel grade(P＜0.05).The levels of NLRP3,CysC and Neuritin in poor recovery group were higher than those in good recovery group(P＜0.05).Serum NLRP3,CysC and Neuritin levels were gradually decreased in Frankel grade A,B,C and D patients(P＜0.05).Serum NLRP3,CysC and Neuritin were negatively correlated with Frankel grades(P＜0.05).Serum NLRP3,CysC and Neuritin were independent risk factors for postoperative neurological function recovery in patients with spinal fracture complicated with SCI(P＜0.05).The area under the curve(AUC)predicted by serum NLRP3,CysC and Neuritin was 0.813,0.774 and 0.757,the sensitivity was 74.19％,77.42％and 70.97％,and the specificity was 82.89％,68.42％and 81.58％,respectively.The AUC of the combined prediction of the three indexes was 0.927,the sensitivity was 83.87％,and the specificity was 85.53％,and the prediction value was significantly higher than that predicted by each index alone(P＜0.05).Conclusion Serum NLRP3,CysC and Neuritin are independent risk factors for postoperative neurological function recovery in patients with spinal fracture complicated with SCI,and their combined predictive value is relatively reliable.
