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成人脊柱畸形远端融合椎的选择问题 被引量：2

Selecting distal fusion level for adult spinal deformity
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摘要 成人脊柱畸形（adult spinal deformity，ASD）治疗目标是缓解腰背痛、去除神经压迫、恢复脊柱平衡和改善生活质量。手术方式中融合节段尤其是远端融合椎的选择，由于涉及到术后近、远期疗效问题，引起了学者们的广泛关注。ASD远端融合椎终止于L5、S1还是髂骨，既有共识，亦存有争议，结合文献和自身经验，浅谈一些体会与思考。
作者 王冰 吕国华
机构地区 中南大学湘雅二医院脊柱外科
出处 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2016年第8期679-681,共3页 Chinese Journal of Spine and Spinal Cord
关键词 脊柱畸形 远端 成人 神经压迫 生活质量 脊柱平衡 融合节段 手术方式
分类号 R682.3 [医药卫生—骨科学]
  • 相关文献

参考文献12

  • 1Kuklo TR. Principles for selecting fusion levels in adult spinal deformity with particular attention to lumbar craves and double major curves[Jl. Spine, 2006, 31(19 Suppl): S132-138.
  • 2陈其昕,闻君侠,李方财,陈刚.不同远端固定椎对退变性腰椎侧凸长节段后路融合疗效的影响[J].中国脊柱脊髓杂志,2014,24(8):710-716. 被引量：16
  • 3Sciubba DM, Scheer JK, Smith JS, et al. Which daily functions are most affected by stiffness following total lumbar fusion: compari- son of upper thoracic and thoracolumbar proximal endpoints[J]. Spine, 2014, 40(17): 1338-1344.
  • 4Kuhns CA, Bridwell KH, Lenke LG, et al. Thoracolumbar deformity arthrodesis stopping at L5: fate of the L5-S1 disc, minimum 5-year follow-up[J]. Spine, 2007, 32(34): 2771-2776.
  • 5Kasliwal MK, Shaffrey CI, Lenke LG, et al. Frequency, risk factors, and treatment of distal adjacent segment pathology after long thoracolumbar fusion: a systematic review[J]. Spine, 2012, 37(22 Suppl): S165-179.
  • 6Cho KJ, Suk SI, Park SR, et al. Risk factors of sagittal decompensation after long posterior instrumentation and fusion for degenera- tive lumbar scoliosis[J]. Spine, 2010, 35(17): 1595-1601.
  • 7Sardar ZM, Ouellet JA, Fischer DJ, et al. Outcomes in adult scoliosis patients who undergo spinal fusion stopping at L5 compared with extension to the sacrum[J]. Evid Based Spine Care J, 2013, 4(2): 96-104.
  • 8Kim KT, Lee DH, Cho DC, ct al. Preoperative risk factors for recurrent lumbar disk herniation in L5-SI[J]. Spinal Disord Tech, 2015, 28(10): E571-577.
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  • 10O'Neill KR, Bridwell KH, Lenke LG, et al. Extension of spine fusion to the sacrum following long fusions for deformity correction [J]. Spine, 2014, 39(12): 953-962.

二级参考文献22

  • 1Tribus CB. Degenerative lumbar scoliosis:evaluation and management[J]. J Am Acad Orthop Surg,2003,11(3):174-183.
  • 2Bradford DS,Tay BK,Hu SS,et al. Adult scoliosis:surgical indications,operative management,complications,and outcomes[J]. Spine,1999,24(24):2617-2629.
  • 3Oskouian RJ,Shaffrey CI. Degenerative lumbar scoliosis[J]. Neurosurg Clin N Am,2006,17(3):299-315.
  • 4Simmons ED. Surgical treatment of patients with lumbar spinal stenosis with associated scoliosis[J]. Clin Orthop Relat Res,2001,384:45-53.
  • 5Grubb SA,Lipscomb HJ,Suh PB,et al. Results of surgical treatment of painful adult scoliosis[J]. Spine,1994,19(14):1619-1627.
  • 6Polly DJ,Hamill CL,Bridwell KH,et al. Debate:to fuse or not to fuse to the sacrum,the fate of the L5-S1 disc[J]. Spine,2006,31(19 Suppl):S179-S184.
  • 7Cho KJ,Suk SI,Park SR,et al. Arthrodesis to L5 versus S1in long instrumentation and fusion for degenerative lumbar scoliosis[J]. Eur Spine J,2009,18(4):531-537.
  • 8Bridwell KH,Glassman S,Horton W,et al. Does treatment(nonoperative and operative)improve the two-year quality of life in patients with adult symptomatic lumbar scoliosis:a prospective multicenter evidence-based medicine study[J]. Spine,2009,34(20):2171-2178.
  • 9Edwards CN,Bridwell KH,Patel A,et al. Thoracolumbar deformity arthrodesis to L5 in adults:the fate of the L5-S1disc[J]. Spine,2003,28(18):2122-2131.
  • 10Bridwell KH,Edwards CN,Lenke LG,et al. The pros and cons to saving the L5-S1 motion segment in a long scoliosis fusion construct[J]. Spine,2003,28(20):S234-S242.

共引文献15

同被引文献17

引证文献2

二级引证文献6

中国脊柱脊髓杂志
2016年 第8期

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