腰椎峡部裂治疗现状及思考

Current status and thinking on the treatment of lumbarspondylolysis

腰椎峡部裂是一种常见的脊柱外科疾病,发病可能与先天发育、后天劳损或外伤密切相关。其治疗方法主要包括物理治疗、非融合手术、根治性融合手术等,尤其在手术方式方面有多种选择。需要针对该疾病的病因、病理机制更深入的了解,关注重点在微创、修复生理功能、加速康复方面,近年来相关技术进展迅速。文章主要针对目前临床治疗的现状进行回顾,并提出阶梯治疗、个性化方案的相关思考。

Lumbarspondylolysis is a common spinal surgery disease,which is closely related to congenital development,acquired strain,and trauma.Its treatment mainly includes different options from physical therapy,non-fusion surgery to radical fusion surgery;especially in terms of surgical methods,a deeper understanding of the etiological and pathological mechanisms of the disease,focusing on minimally invasive,repairing physiological functions,and accelerating in terms of rehabilitation,related technologies have progressed rapidly in recent years.Here,we mainly reviews the current status of clinical treatment,and proposes relevant thinking about step treatment and individualized plans.