摘要
腰椎后路椎弓根钉内固定融合术现已广泛应用于治疗腰椎退行性疾病、畸形、腰椎滑脱和脊柱肿瘤等,坚强内固定和360°融合亦被视为脊柱稳定手术的金标准。相邻节段退变(adjacent segment degeneration,ASD)是腰椎固定术后相邻节段最常见的病变。随着内固定器械的日趋成熟,术后相邻节段退变引起了越来越多人的关注,研究其发生机制和影响因素,如何有效治疗和预防相邻节段退变的发生逐渐成为研究的热点。本文就腰椎后路内固定术后相邻节段退变的概念、发生率、发生机制、影响因素和治疗作一综述。
Posterior lumbar fusion with transpedicular screw fixation is widely applied in lumbar degenerative disease, de- formity, lumbar spondylolisthesis and spinal tumors. Strong internal fixation and 360° fusion is also regarded as the gold standard for spinal stability of surgery. Adjacent segment degeneration （ASD） is the mostly occurring common postoperative complica- tion. With the quick development of internal fixation technique, postoperative ASD attracts more and more attention in recent years. Gradually, it has become a a hot research topic to investigate its mechanism and influencing factors, as well as the pre- vention methods for ASD. This article reviews the definition, incidence rate, mechanism, influence factors contributing to ASD, and its subsequent treatment.
作者
李超
巴兆玉
黄宇峰
洪潮
吴德升
LI Chao BA Zhao - yu HUANG Yu -ring et al(Department of Spinal Surgery, Shanghai East Hospital affiliated to Tongji University, Shanghai 200120, China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2016年第19期1792-1795,共4页
Orthopedic Journal of China
基金
上海市科学技术委员会科研项目
课题名称:腰椎后外侧融合椎弓根钉置入对固定及相邻节段椎间盘影响的基础及临床应用研究(编号:12411951202)
浦东新区科技发展基金创新资金项目(编号:PKJ2013-Y25)
浦东新区卫生系统重点学科建设资助项目(编号:PWZX2014-17)
关键词
腰椎
内固定
相邻节段退变
lumbar, internal fixation, adjacent segment degeneration
