腰椎峡部裂修补的手术治疗研究进展

Research process in surgical treatment of lumbaRspondylolysis repair

腰椎峡部裂是一种腰椎单侧或双侧峡部不连续性骨缺损的骨科常见疾病,可导致患者腰椎滑脱。其发生可由先天性或后天创伤性因素引起。目前,腰椎峡部裂修补的手术治疗方法有10余种,可起到加压固定作用,但都能可控地在峡部裂断端实现稳定、循序渐进的加压控制。此外,其手术要点、预后和愈合速率等存在显著差异,均具有峡部裂断端加压不确切导致峡部裂断端不愈合的风险,需根据疾病严重程度、适用人群、手术时机等进行综合分析后选择实施外科手术。因此,本文通过对腰椎峡部裂修补的手术技巧、术后并发症及修复情况进行分析总结,以期为该病的外科治疗提供选择,减小患者病情逐渐加重的风险,促进峡部裂愈合。

LumbaRspondylolysis refers to lumbaRunilateral oRbilateral discontinuous isthmic bone defects.It can result in lumbaRspondylolisthesis,a common disease in orthopedics.LumbaRspondylolysis can be congenital oRcaused by trauma.Recently,there are more than 10 choices foRsurgical repaiRof lumbaRspondylolysis,all of which targeting at achieving stable fixation and gradual compression control at the isthmic end.However,the compression strength is hard to control effectively.In addition,the key points of operation,prognosis and the healing rate diffeRsignificantly among surgeries.As a result,the inaccurate compression strength at the isthmic end may lead to nonunion.Surgeons need to make the best choice afteRcomprehensive analysis on the disease severity,surgery indications and timing,etc..This article reviewed different surgical techniques,postoperative complications and healing situation,hoping to offeRreference foRsurgical management of lumbaRspondylolysis,reduce the risk of aggravation and promote union.