摘要
对于治疗腰椎相关退行性疾患,后路椎弓根螺钉固定术联合融合器椎间融合术因术后融合率高、椎间隙高度丢失率低、早期稳定性好[1-4],已成为主要的外科治疗手段。但学者们在应用单侧与双侧椎弓根钉内固定术的疗效评估上的分歧从未停止。其争议主要集中在单侧内固定术是否可提供牢固的稳定性、确保融合器不松动脱出并达到椎间骨性融合的临床疗效。相比之下,双侧内固定又存在术中创伤大、手术费用昂贵、并发症发生率潜在升高等缺点。
In the surgical treatment of lumbar degenerative diseases such as lumbar disc herniation, lumbar spondylolisthesis and lumbar spinal stenosis, posterior lumbar interbody fusion (PLIF) combined with pedicle screw fixation has become the primary surgical procedure. However, controversy about the treatment evaluation of unilateral or bilateral fixation has never been stopped. By research of in vitro biomechanics and in vivo clinical application, this study aims to discuss and analyze the advantages and disadvantages. By the concept of "seeking advantages and avoiding harm", a potential solution is proposed to this long-standing dispute.
作者
丁一
潘爱星
张扬璞
张耀申
刘畅
张黎明
杨晋才
DING Yi;PAN Ai-xing;ZHANG Yang-pu;ZHANG Yao-shen;LIU Chang;ZHANG Li-ming;YANG Jin-cai(Dipartment of Orthopedics,Beijing Chaoyang Hospital affiliated to Capital Medical University,Beijing,100020,China)
出处
《中国骨与关节杂志》
CAS
2019年第2期141-144,共4页
Chinese Journal of Bone and Joint
关键词
腰椎
椎弓根钉
脊柱融合术
综述
Lumbar vertebrae
Pedicle screws
Spinal fusion
Review
