下腰椎退变性滑脱手术治疗研究进展

Advances in surgical treatment of degenerative lumbar spondylolisthesis

治疗退变性腰椎滑脱症的常用术式为PLIF手术,手术节段椎间融合率高,术后患者临床疗效好但相邻椎间盘易退变导致邻椎病,进而影响远期疗效。腰椎不同节段行PLIF术后邻椎病的发生率不同,目前研究结论为L5～S1节段行PLIF术后邻椎病发病率最高。

The common surgical procedure for the treatment of degenerative lumbar spondylolisthesis is PLIF.The rate of intervertebral fusion is high in the surgical segment.The clinical effect of postoperative patients is good,but the adjacent intervertebral disc is easy to degenerate and lead to adjacent spondylosis,which affects the long-term effect.The incidence of adjacent spondylosis in different segments of lumbar vertebrae after PLIF is different.The current study concluds that the incidence of adjacent spondylosis is the highest in PL5-S1 segment after PLIF.