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单侧经椎间孔腰椎椎体间融合术联合单侧椎弓根螺钉内固定常见并发症 被引量:3

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摘要 单侧经椎间孔腰椎椎体间融合术(TLIF)联合单侧椎弓根螺钉内固定,即单侧固定TLIF,是传统TLIF进一步微创化而来的手术方法,其临床疗效与传统TLIF相似,且并发症发生率也无升高。由于椎弓根螺钉置入数量减少、融合节段间应力遮挡降低,单侧固定TLIF在降低椎弓根螺钉相关并发症、预防术后相邻脊椎节段退变、防止应力遮挡引起的骨量减少以及避免器械相关骨质疏松等方面具有潜在优势。在融合器相关并发症及椎弓根螺钉断裂所致内固定失败等方面,尽管目前临床尚存争议,但大多数研究结果显示单侧固定TLIF不会增加相应风险。远期临床效果仍需更长时间的随访研究及更加深入的生物力学实验研究加以明确。
出处 《国际骨科学杂志》 2014年第3期156-158,共3页 International Journal of Orthopaedics
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