退变性腰椎管狭窄症手术治疗中不同术式的应用进展

被引：27

作者：

夏可周

郭卫春

机构：

[1] 武汉大学人民医院

来源：

山东医药 | 2016年 / 56卷 / 39期

关键词：

退变性腰椎管狭窄症; 外科手术; 椎管减压术; 植骨融合术; 椎弓根内固定术;

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

100220 [骨科学];

摘要：

目的治疗退变性腰椎管狭窄症(DLSS)的手术主要分为腰椎板切除减压、椎弓根螺钉内固定及植骨融合术。减压手术是治疗DLSS最根本的术式,主要分为椎板切除术(全椎板切除术和半椎板切除术)、椎板间开窗术、微创椎管减压术;植骨融合大致分为后外侧植骨融合和椎间融合,其中椎间融合术的融合率最高,但对于DLSS患者在行椎管减压的同时是否需植骨融合至今仍存在较大争议;非融合性内固定的植入体可增加局部的脊柱前突,减轻椎管狭窄,增加腰椎椎间隙高度及稳定性,减少邻近节段退变。临床工作中,应正确处理好减压与脊椎稳定二者间的关系,充分评估是否同时采取相应植骨融合及内固定等治疗措施,对于不同患者选择适宜的手术方式。

引用

页码：103 / 106

页数：4

共 16 条

[1]

Comparison of the Efficacy and Safety between Interspinous Process Distraction Device and Open Decompression Surgery in Treating Lumbar Spinal Stenosis: A Meta Analysis [J].

Hong, Peiwei ;

Liu, Yao ;

Li, Hedong .

JOURNAL OF INVESTIGATIVE SURGERY, 2015, 28 (01) :40-49

[2]

Evidence for surgery in degenerative lumbar spine disorders [J].

Jacobs, Wilco C. H. ;

Rubinstein, Sidney M. ;

Koes, Bart ;

van Tulder, Maurits W. ;

Peul, Wilco C. .

BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY, 2013, 27 (05) :673-684

[3]

Lumbar stenosis: clinical case.[J].Pedro Sá;Pedro Marques;Bruno Alpoim;Elisa Rodrigues;António Félix;Luís Silva;Miguel Leal.Revista Brasileira de Ortopedia (English Edition).2013,

[4]

X-Stop Versus Decompressive Surgery for Lumbar Neurogenic Intermittent Claudication Randomized Controlled Trial With 2-Year Follow-up [J].

Stromqvist, Bjorn H. ;

Berg, Svante ;

Gerdhem, Paul ;

Johnsson, Ragnar ;

Moller, Anders ;

Sahlstrand, Tage ;

Soliman, Ahmed ;

Tullberg, Tycho .

SPINE, 2013, 38 (17) :1436-1442

[5]

Interspinous process device versus standard conventional surgical decompression for lumbar spinal stenosis: randomized controlled trial.[J].Wouter A Moojen;Mark P Arts;Wilco C H Jacobs;Erik W van Zwet;M Elske van den Akker-van Marle;Bart W Koes;Carmen L A M Vleggeert-Lankamp;Wilco C Peul.BMJ.2013, nov1

[6]

Treatment of multilevel degenerative lumbar spinal stenosis with spondylolisthesis using a combination of microendoscopic discectomy and minimally invasive transforaminal lumbar interbody fusion [J].

Wu, Han ;

Yu, Wei-Dong ;

Jiang, Rui ;

Gao, Zhong-Li .

EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2013, 5 (02) :567-571

[7]

Change of radiological parameters after interspinous implantation (X-stop ? ) in degenerative spinal stenosis.[J].Hye-Young Kim;Byung-Wan Choi.European Journal of Orthopaedic Surgery & Traumatology.2013, 3

[8]

Readmission Rates After Decompression Surgery in Patients With Lumbar Spinal Stenosis Among Medicare Beneficiaries [J].

Modhia, Urvij ;

Takemoto, Steven ;

Braid-Forbes, Mary Jo ;

Weber, Michael ;

Berven, Sigurd H. .

SPINE, 2013, 38 (07) :591-596

[9]

A decade’s experience in lumbar spine surgery in Belgium: sickness fund beneficiaries, 2000–2009 [J].

Marc Du Bois ;

Marek Szpalski ;

Peter Donceel .

European Spine Journal, 2012, 21 :2693-2703

[10]

Symptomatic progression of degenerative scoliosis after decompression and limited fusion surgery for lumbar spinal stenosis.[J].John K. Houten;Rani Nasser.Journal of Clinical Neuroscience.2012,

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