腰椎融合联合非融合技术预防邻近节段退变的应用分析

A analysis of hybrid surgery combined with fusion and nonfusion technologies for preventing the adjacent lumbar segment degeneration

腰椎融合术后邻近节段退变是脊柱外科医师关注的焦点,非融合技术的出现为腰椎多节段退变疾病患者带来了希望,对退变严重、符合融合手术指征的节段应行融合手术治疗,而对于退变较轻、未达到融合标准的邻近节段可应用非融合技术予以保护,融合联合非融合技术治疗腰椎退变性疾病,不仅在早中期可取得良好的临床效果,而且可预防邻近节段的退变。且文献中术前对邻近节段退变程度评估标准不一,亟需一套统一科学的评估标准指导临床。

Adjacent segment degeneration after lumbar spine fusion was a hot focus for spine surgeon, nonfusion technologies opened a new era of treatment options for the patients with multilevel lumbar degenerative disease. The segement in line with the indications for fusion should be performed fusion surgey, and the adjacent segement not in line with the indications may be performed nonfusion surgey. The hybrid surgery not only can obtain satisfactory clinical results, but also prevent degeneration of adjacent segments. Also there was no uniform criteria for assessing the degree of adjacent segment degeneration, we need a unified scientific criteria to guide the clinic.