腰椎融合术式研究进展

Research Progress of Lumbar Fusion

腰椎融合术是脊柱外科在治疗腰椎间盘突出症、腰椎管狭窄症、腰椎侧凸畸形等腰椎疾病时应用最为广泛的一项手术技术。腰椎融合术通过恢复脊柱正常序列、重建脊柱稳定性使患者消除腰腿疼痛麻木等症状从而达到治愈腰椎疾患的目的,但神经、硬膜囊、血管及脊髓损伤等手术相关并发症也屡见报道。目前腰椎融合方式多样,不同手术入路、不同融合方式均有其各自的优势及局限,临床医师在术式选择方面尚未达成共识,需针对患者病情特点合理选择手术方式。

Lumbar fusion is one of the most widely used surgical techniques in spinal surgery in the treatment of lumbar disc herniation,lumbar spinal stenosis,and lumbar scoliosis.Lumbar fusion by restoring spine normal sequence,reconstruction of spinal stability,make the patients eliminate waist symptoms such as pain and numbness,so as to cure lumbar spinal disorders,although related surgical complications such as nerve,dural sac,vascular and spinal cord injuries have been reported.Nowadays,the lumbar fusion method is diversified,and different surgical approaches and different fusion methods have their respective advantages and limitations,and the clinicians have not reached consensus on the surgical option.