微创脊柱手术在青少年特发性脊柱侧凸和成人脊柱侧凸矫形的应用进展

Advances in Minimally Invasive Spine Surgery in Treatment of Adolescent Idiopathic Scoliosis and Adult Scoliosis

传统的脊柱侧凸手术方式主要为常规切口的开放手术,一般为矫形内固定手术,包括前路、后路和前后路联合手术,这些传统手术方式常可导致失血多、感染、切口疼痛等各种并发症。20世纪90年代出现了微创脊柱手术(MISS)技术,其因失血量少、疼痛小、感染率低等优势而逐渐受到关注,目前MISS主要用于治疗青少年特发性脊柱侧凸和成人脊柱侧凸,但这种新技术仍无法避免一些并发症的出现,故其尚未成为脊柱侧凸手术治疗的常规方式。本文总结了MISS技术在青少年特发性脊柱侧凸和成人脊柱侧凸手术治疗方面的应用。

The traditional treatment of scoliosis is mainly based on open surgeries that use the anterior ap- proach, the posterior approach, or both. These surgical procedures often lead to complications including massive blood loss, infections, and pain of incision. The minimally invasive spine surgery （MISS） was introduced in the 1990s and has shown many advantages including less blood loss, less pain, and lower infection incidences. Today MISS is mainly used in the treatment of adolescent idiopathic scoliosis and adult scoliosis. However, due to some inevitable complications, it still can not be routinely applied. This review will briefly summarize the advances in the application of MISS in surgical treatment of adolescent idiopathic scoliosis and adult scoliosis.