微创单侧入路双侧减压治疗退变性腰椎管狭窄症的疗效被引量：9

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摘要退变性腰椎管狭窄症传统后路后外侧椎间融合术(TLIF)全椎板减压手术创伤大,椎旁软组织剥离广泛,术中出血多,术后对脊柱的稳定性造成一定影响,出现邻近节段交界性病变(ASD)或后突畸形发生率高,而微创单侧入路双侧减压治疗退变性腰椎管狭窄症通过微创通道技术,切口及椎旁软组织损伤更小,术中出血少,同时对脊柱稳定性破坏少,最大限度保留了脊柱的运动节段,明显缩短了术后恢复时间,可达到与开放手术一样的减压目的。

作者李清

机构地区山西省大同市第三人民医院骨科

出处《中国药物与临床》 CAS 2019年第5期815-817,共3页 Chinese Remedies & Clinics

关键词腰椎管狭窄症单侧入路退变性减压治疗

分类号 R687.3 [医药卫生—骨科学]

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1王文军,薛静波,晏怡果,王麓山,朱一平,李学林.单侧微创经椎间孔腰椎椎体间融合内固定治疗腰椎退变性疾病[J].脊柱外科杂志,2012,10(1):9-12. 被引量：16
2胡伟,赵杰,巩陈,邹明,袁建华,刘向阳.单侧椎板入路双侧减压治疗单侧症状为主腰椎管狭窄的疗效分析[J].中华医学杂志,2016,96(21):1673-1676. 被引量：32

二级参考文献26

1Wang J,Zhou Y,Zhang ZF,et al.Comparison of one-level mini-mally invasive and open transforaminal lumbar interbody fusion indegenerative and isthmic spondylolisthesis grades 1 and 2[J].Eur Spine J,2010,19(10):1780-1784.
2Scheufler KM,Dohmen H,Vougioukas VI.Percutaneous transfo-raminal lumbar interbody fusion for the treatment of degenerativelumbar instability[J].Neurosurgery,2007,60(4 Suppl 2):203-212.
3Suk SI,Lee CK,Kim WJ,et al.Adding posterior lumbar inter-body fusion to pedicle screw fixation and posterolateral fusion afterdecompression in spondylolytic spondylolisthesis[J].Spine(Phila Pa 1976),1997,22(2):210-220.
4Huskisson EC.Measurement of pain[J].Lancet,1974,2(7889):1127-1131.
5Fukui M,Chiba K,Kawakami M,et al.Japanese OrthopaedicAssociation Back Pain Evaluation Questionnaire.Part 2.Verifica-tion of its reliability:The Subcommittee on Low Back Pain andCervical Myelopathy Evaluation of the Clinical Outcome Commit-tee of the Japanese Orthopaedic Association[J].J Orthop Sci,2007,12(6):526-532.
6Harms J,Rolinger H.A one-stager procedure in operative treat-ment of spondylolistheses:dorsal traction-reposition and anteriorfusion(author’s transl)[J].Z Orthop Ihre Grenzgeb,1982,120(3):343-347.
7Yan DL,Pei FX,Li J,et al.Comparative study of PILF andTLIF treatment in adult degenerative spondylolisthesis[J].EurSpine J,2008,17(10):1311-1316.
8Foley KT,Holly LT,Schwender JD.Minimally invasive lumbarfusion[J].Spine(Phila Pa 1976),2003,28(15 Suppl):S26-35.
9Schwender JD,Holly LT,Rouben DP,et al.Minimally invasivetransforaminal lumbar interbody fusion(TLIF):technical feasi-bility and initial results[J].J Spinal Disord Tech,2005,18Suppl:S1-6.
10Hambly MF,Wiltse LL,Peek RD,et al.Unilateral lumbar fusion[J].Spine(Phila Pa 1976),1991,16(6 Suppl):S295-297.