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2014年版美国神经外科医师协会腰椎融合术治疗退行性腰椎疾病指南解读 被引量:13

Interpretation of "Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine (2014)"
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摘要 腰椎融合术是治疗退行性腰椎疾病的重要手术方法,自2005年美国神经外科医师协会发表腰椎融合术治疗退行性腰椎疾病的第1版指南后,2014年再次发表新版指南。新版指南通过文献分析从腰椎融合术后腰椎功能评价、卫生经济学评价、影像学评价等16个方面,对现有的循证医学证据进行分析,确定不同的推荐级别,以指导临床实践。本文通过对新版指南进行概要性解读,以使国内神经外科医师和脊柱外科医师对新版指南有所了解。 Lumbar fusion procedures have become a necessary management strategy in the treatment of lumbar degenerative disease. The new version of the "Guidelines for the performance of fusion proeedures for degenerative disease of the lumbar spine" was published by American Association of Neurological Surgeons (AANS) in 2014 since the first version had been published in 2005. Through comprehensive review of existing literatures, the new guideline anaiyzed current evidence of evidence-based medicioe and formulated hierarchical recommendation grades from 16 topics which included assessment of functional outcome following lumbar fusion, assessment of economic outcome, radiographic assessment of fusion status, and so on, in order to provide clinical treatment guidance. This article interpreted the new guidelines summarily to help surgeons gain some understanding on it.
作者 陈赞
出处 《中国现代神经疾病杂志》 CAS 2016年第4期182-186,共5页 Chinese Journal of Contemporary Neurology and Neurosurgery
关键词 腰椎 脊柱融合术 指南 综述 Lumbar vertebrae Spinal fusion Guidelines Review
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参考文献19

  • 1Resnick DK, Choudhri TF, Dailey AT, Groff MW, Khoo L, Matz PG, Mummaneni P, Watters WC 3rd, Wang J, Walters BC, Hadley MN. Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 1: introduction and methodology. J Neurosurg Spine, 2005, 2:637- 638.
  • 2Groff MW. Introduction: guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. J Neurosurg Spine, 2014, 21:1.
  • 3Kaiser MG, Eck JC, Groff MW, Watters WC 3rd, Dailey AT, Resniek DK, Choudhri TF, Sharan A, Wang JC, Mummaneni PV, Dhall SS, Ghogawala Z. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 1: introduction and methodology. J Neurosurg Spine, 2014, 21:2-6.
  • 4Ghogawala Z, Resnick DK, Watters WC 3rd, Mummaneni PV, Dailey AT, Choudhri TF, Eck JC, Sharan A, Groff MW, Wang JC, Dhall SS, Kaiser MG. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 2: assessment of functional outcome followinglumbar fusion. J Neurosurg Spine, 2014, 21:7-13.
  • 5Ghogawala Z, Whitmore RG, Watters WC 3rd, Sharan A, Mummaneni PV, Dailey AT, Choudhri TI~', Eck JC, Groff MW, Wang JC, Resniek DK, Dhall SS, Kaiser MG. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 3: assessment of eeonomie outeome. J Neurosurg Spine, 2014, 21:14-22.
  • 6Choudhri TF, Mummaneni PV, Dhall SS, Eek JC, Groff MW, Ghogawala Z, Watters WC 3rd, Dailey AT, Resniek DK, Sharan A, Wang JC, Kaiser MG. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Parl 4: radiographic assessment of fusion status. J Neurosurg Spine, 2014, 21:23-30.
  • 7Dhall SS, Choudhri TF, Eck JC, Groff MW, Ghogawala Z, Watters WC 3rd, Dailey AT, Resnick DK, Sharan A, Mummaneni PV, Wang JC, Kaiser MG. Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 5: correlation between radiographic outcome and function. J Neurosurg Spine, 2014, 2l:31-36.
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  • 9Eek JC, Sbaran A, Ghogawala Z, Resnick DK, Watters WC 3rd, Mummaneni PV, Dailey AT, Choudhri TF, Groff MW, Wang JC, Dhal[ SS, Kaiser MG. Guideline update for the performance of fiJsion procedures fi)r degenerative disease of the lumbar spine. Parl 7: lumbar fusion for intractable low- back pain without stenosis or spondylolisthesis. J Neurosurg Spine, 2014, 21:42-47.
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