腰椎椎体间融合术后邻近节段疾病的研究进展

Adjacent segment pathology after lumbar interbody fusion:research progress

腰椎椎体间融合术是治疗腰椎退行性疾病的主要方式,而术后邻近节段疾病(ASP)严重影响腰椎融合术的手术效果,部分患者甚至需要二次手术治疗。研究表明,年龄、术前存在的邻近节段退变、矢状面失衡、融合节段长度、手术方式等因素都影响着ASP的发生。近年来,微创及非融合手术在治疗ASP方面取得了较大的进展。本文就ASP的病因、危险因素和治疗相关研究进展进行综述。

Lumbar interbody fusion is the primary treatment of degenerative lumbar diseases;however,the outcome of the operation is seriously affected by the postoperative adjacent segment pathology(ASP),and some patients even need revision surgery.Many factors affect the occurrence of ASP,including age,preoperative adjacent segment degeneration,sagittal imbalance,length of fusion segment and surgical methods.Meanwhile,great progresses,such as minimally invasive and non-fusion surgery,have been made in treating ASP.This paper reviews the pathogeny,risk factors and treatment of ASP.