腰椎融合术术式进展
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- 英文论文题名：Progress of Lumbar Spinal Fusion Surgeries
- 论文作者：李朋 ; 李宏伟 ; 王爽 ; 王帅 ; 付玉平
- 英文论文作者：Li Peng ; Li Hong-wei ; Wang Shuang ; Wang Hai-zhou ; Department of Orthopedics ; People's Liberation Army No.202 Hospital
- 年：2017
- 作者机构：中国人民解放军第202医院骨科;
- 论文关键词：腰椎 ; 腰椎融合术 ; 综述
- 英文论文关键词：The Lumbar Spine ; Lumbar interbody fusion ; Overview
- 会议召开时间：2017-08-31
- 会议录名称：第十四届沈阳科学学术年会论文集（理工农医）
- 语种：中文
- 分类号：R687.3
- 学会代码：SYKJ
- 会议名称：第十四届沈阳科学学术年会
- 会议地点：中国辽宁沈阳
- 主办单位：中共沈阳市委、沈阳市人民政府
- 学会名称：沈阳市科学技术协会
- 页数：5
- 文件大小：162k
- 原文格式：D
- 会议级别：地方
摘要
腰椎融合术自首次报道以来,在重建腰椎稳定性的手术中,腰椎融合术具有重要地位,根据手术入路的不同,逐渐出现了各种各样的术式,包括后外侧融合、后路腰椎椎间融合术、前路腰椎椎间融合术、腰椎椎间孔椎间融合术、骶前轴向腰椎椎间融合术、极外侧入路椎间融合术、360°环形融合术等。每个术式都有各自的优缺点,当选择手术方式时应综合考虑,选择合适的手术方案,而且随着融合技术以及器械的不断发展,将来会有新型的术式不断出现,来更好的解决腰椎疾病。
Lumbar spinal fusion possesses a significant position in reconstruction of lumbar spinal stability ever since its primary report. According to the surgical approach, there are various kinds of operation, such as posterolateral fusion(PLF), posterior lumbar interbody fusion(PLIF), anterior lumbar interbody fusion(ALIF), transforaminal lumbar interbody fusion(TLIF), axial lumbar interbody fusion(Axial LIF), extreme lateral interbody fusion(XLIF), 360° annular arthrodesis, etc. As there are both advantages and disadvantages for each surgery, a comprehensive consideration should be involved in the choice of surgeries for an optimum plan. With the continuous development of fusion technology and equipment, there will be a new type of surgery in the future, to better solve the lumbar disease.
Lumbar spinal fusion possesses a significant position in reconstruction of lumbar spinal stability ever since its primary report. According to the surgical approach, there are various kinds of operation, such as posterolateral fusion(PLF), posterior lumbar interbody fusion(PLIF), anterior lumbar interbody fusion(ALIF), transforaminal lumbar interbody fusion(TLIF), axial lumbar interbody fusion(Axial LIF), extreme lateral interbody fusion(XLIF), 360° annular arthrodesis, etc. As there are both advantages and disadvantages for each surgery, a comprehensive consideration should be involved in the choice of surgeries for an optimum plan. With the continuous development of fusion technology and equipment, there will be a new type of surgery in the future, to better solve the lumbar disease.
引文
[1]陈爱国.腰椎问盘突出微创治疗和保守治疗的临床疗效观察[J].临床医学研究与实践,2016,1(2):42.
[2]谭俊铭,叶晓健,贾连顺,等.腰椎融合术的研究进展[J].中国脊柱脊髓杂志,2006,5(16):397-399.
[3]朱本清,孙渊,等.腰椎融合术的研究现状[J].实用骨科杂志,2013,7(19):622-624.
[4]Watkins MB.Posterolateral fusion of the lumbar and lumbesacral spine[J].J Bone Joint Surg Am,1953,35一A(4):1014—1018.
[5]何剑颖,董谢平,等.脊柱生物力学的有限元法研究进展[J].中国组织工程研究与临床康复,2011,15(26):4940.
[6]蒋宋怡,胡志军,范顺武,等.两种入路在腰椎椎体间融合术中对多裂肌损伤的病例对照研究[J].中国骨伤,2013,26(9):735-740.
[7]靳冬,张果忠,等.椎弓根螺钉内固定及计算机导航技术的发展与应用[J].中国组织工程研究,2012,16(30):5644-5647.
[8]张嫩,白鹏程,王根林.后路椎弓根螺钉内固定治疗多节段胸腰椎骨折[J].临床骨科杂志,2011,14(1):12—14.
[9]余波,李世芳,周道政,等.经皮椎弓根螺钉内固定治疗胸腰椎骨折疗效观察[J].临床骨科杂志,2013,16(4):384-386.
[10]印飞,张绍东.单节段椎弓根螺钉内固定治疗胸腰椎骨折的进展[J].中国脊柱脊髓杂志,2013,23(4)):377-379.
[11]Liu S,Li H,Liang C,et a1.Monosegmental transpedicular fixation for selected patients with thoracolumbar burst fractures[J].J Spinal Disord Tech,2009,22(1):38—44.
[12]曾忠友,程新财,张建乔,等.经伤椎置钉椎弓根螺钉系统单节段固定治疗胸腰椎骨折的l临床探讨[J].脊柱外科杂志,2010,8(3):168—171.
[13]DIPAOLA C P,MOLINARI RW.Posterior lumbar interbody fusion[J3.J AM Acad Orthop Surg,2008,16(3):180—139.
[14]Min JH.Jang JS,Lee SH.Comparison of anterior-and posteri or-approach instrumented lumbar interbody fusion for spondy lolisthesis[J].J Neurosurg Spine,2007,7(1):21—26.
[15]Hsieh Pc,Koski TR,O’Shaug Ilnessy BA,et a1.Anterior lumbar interbody fusion in comparison with transfomminal lumbar interbody fusion:implications for the restoration of forarninal height,local disc angle,lumbar lordosis,and sagittal balance[J].J Neurosurg Spine,2007,7(4):379-386.
[16]Mayer HM.A new microsurgical technique for minimally in Vasive anterior lurnbar interbody fusion[J].Spine,1997,22(6):69l一700.
[17]高明林,李永新,孙艳春,等.腹腔镜下腰椎融合术的初步临床应用及近期疗效观察[J].中国矫形外科杂志,2005,13(7):523.
[18]高明林,陈统一,张光健,等.腹腔镜下腰椎融合术[J].中华骨科杂志,2002,22(2):124-125
[19]姜晓幸,张光健,邵云潮,等.腹腔镜下前路腰椎融合术[J].中华骨科杂志,2004,2(24):100-103.
[20]Cragg A,Carl A,Casteneda F,et a1.New percutaneous access method forminimally invasive anterior lumbosacral surgery[J].J Spinal Disord Tech,2004,17(1):21—28}
[21]Lindley EM,Mc Cullough MA,Burger EL,et a1.Complications of axial lumbar interbody fusion[J].J Neurosurg Spine,2011,15(3):273—279.
[22]Pimenta L.Lateral endoscopic transpsoas retroperitoneal approach for spine surgery[C].Paper preeented at VILL Brazilian Spine Society Meeting.Belo Horizonte,Minass Gerais,Brazil:2001.
[23]POTTER B K,FREEDMAN B A。VERWIEBE E G,et a1.Transforaminal lumbar interbody fusion:clinical and radiographic results and complications in 100 consecutive patients[J].J Spinal Disord Tech,2005,18(4):337—346.
[2]谭俊铭,叶晓健,贾连顺,等.腰椎融合术的研究进展[J].中国脊柱脊髓杂志,2006,5(16):397-399.
[3]朱本清,孙渊,等.腰椎融合术的研究现状[J].实用骨科杂志,2013,7(19):622-624.
[4]Watkins MB.Posterolateral fusion of the lumbar and lumbesacral spine[J].J Bone Joint Surg Am,1953,35一A(4):1014—1018.
[5]何剑颖,董谢平,等.脊柱生物力学的有限元法研究进展[J].中国组织工程研究与临床康复,2011,15(26):4940.
[6]蒋宋怡,胡志军,范顺武,等.两种入路在腰椎椎体间融合术中对多裂肌损伤的病例对照研究[J].中国骨伤,2013,26(9):735-740.
[7]靳冬,张果忠,等.椎弓根螺钉内固定及计算机导航技术的发展与应用[J].中国组织工程研究,2012,16(30):5644-5647.
[8]张嫩,白鹏程,王根林.后路椎弓根螺钉内固定治疗多节段胸腰椎骨折[J].临床骨科杂志,2011,14(1):12—14.
[9]余波,李世芳,周道政,等.经皮椎弓根螺钉内固定治疗胸腰椎骨折疗效观察[J].临床骨科杂志,2013,16(4):384-386.
[10]印飞,张绍东.单节段椎弓根螺钉内固定治疗胸腰椎骨折的进展[J].中国脊柱脊髓杂志,2013,23(4)):377-379.
[11]Liu S,Li H,Liang C,et a1.Monosegmental transpedicular fixation for selected patients with thoracolumbar burst fractures[J].J Spinal Disord Tech,2009,22(1):38—44.
[12]曾忠友,程新财,张建乔,等.经伤椎置钉椎弓根螺钉系统单节段固定治疗胸腰椎骨折的l临床探讨[J].脊柱外科杂志,2010,8(3):168—171.
[13]DIPAOLA C P,MOLINARI RW.Posterior lumbar interbody fusion[J3.J AM Acad Orthop Surg,2008,16(3):180—139.
[14]Min JH.Jang JS,Lee SH.Comparison of anterior-and posteri or-approach instrumented lumbar interbody fusion for spondy lolisthesis[J].J Neurosurg Spine,2007,7(1):21—26.
[15]Hsieh Pc,Koski TR,O’Shaug Ilnessy BA,et a1.Anterior lumbar interbody fusion in comparison with transfomminal lumbar interbody fusion:implications for the restoration of forarninal height,local disc angle,lumbar lordosis,and sagittal balance[J].J Neurosurg Spine,2007,7(4):379-386.
[16]Mayer HM.A new microsurgical technique for minimally in Vasive anterior lurnbar interbody fusion[J].Spine,1997,22(6):69l一700.
[17]高明林,李永新,孙艳春,等.腹腔镜下腰椎融合术的初步临床应用及近期疗效观察[J].中国矫形外科杂志,2005,13(7):523.
[18]高明林,陈统一,张光健,等.腹腔镜下腰椎融合术[J].中华骨科杂志,2002,22(2):124-125
[19]姜晓幸,张光健,邵云潮,等.腹腔镜下前路腰椎融合术[J].中华骨科杂志,2004,2(24):100-103.
[20]Cragg A,Carl A,Casteneda F,et a1.New percutaneous access method forminimally invasive anterior lumbosacral surgery[J].J Spinal Disord Tech,2004,17(1):21—28}
[21]Lindley EM,Mc Cullough MA,Burger EL,et a1.Complications of axial lumbar interbody fusion[J].J Neurosurg Spine,2011,15(3):273—279.
[22]Pimenta L.Lateral endoscopic transpsoas retroperitoneal approach for spine surgery[C].Paper preeented at VILL Brazilian Spine Society Meeting.Belo Horizonte,Minass Gerais,Brazil:2001.
[23]POTTER B K,FREEDMAN B A。VERWIEBE E G,et a1.Transforaminal lumbar interbody fusion:clinical and radiographic results and complications in 100 consecutive patients[J].J Spinal Disord Tech,2005,18(4):337—346.