脊柱内镜经椎板间入路治疗腰椎滑脱症的现状与前景

Present Situation and Prospect of Spinal En-doscopic Interlaminar Approach in the Treatment of Lumbar Spondylolisthesis

腰椎融合术是治疗腰椎滑脱症的常见手术方式,传统开放腰椎融合术可应用的手术入路较多,其中经后路腰椎融合术(PLIF)是治疗腰椎滑脱的常用术式,近年来,脊柱内镜作为一项治疗腰椎滑脱的新技术,其手术入路有椎间孔和椎板间两种入路方式,其中经皮内镜经椎板间入路(PE-PLIF)因创伤小,恢复快等优点逐渐得到关注,而现有文献对其技术的全面总结较少,故本文对脊柱内镜融合手术适应症,手术技术,历史、现状及前景展开叙述。

Lumbar interbody fusion is a common surgical method for the treatment of lumbar spondylolisthe-sis. Traditional open lumbar fusion can be used in many ways, among which posterior lumbar fusion (PLIF) is a common method for the treatment of lumbar spondylolisthesis. In recent years, spinal endoscopy as a new technique for the treatment of lumbar spondylolisthesis, has two surgical ap-proaches: intervertebral foramen and interlaminar approach. Among them, percutaneous endo-scopic interlaminar approach (PE-PLIF) has been paid more and more attention because of its ad-vantages of less trauma and rapid recovery, but there is little comprehensive summary of its tech-niques in the existing literature. Therefore, this paper describes the indications, surgical tech-niques, history, present situation and prospect of spinal endoscopic fusion.