摘要
自1911年Albee和Hibbs首次报道了脊柱融合术后,腰椎融合术被广泛应用于脊柱外科腰椎退行性病变、腰椎畸形、腰椎创伤等疾病的治疗。随着腰椎内固定的发展,腰椎融合术融合率得到了较大提高,但不能忽视腰椎融合术后假关节的发生。腰椎融合术后假关节发生率为5%~56%,发生假关节患者早期多无临床症状或症状不典型,易被外科医师忽视。
Lumbar spinal fusion surgery is widely used in the treatment of lumbar diseases, and the pseudarthrosis after the lumbar spinal fusion has always been a hot and difficult problem of spine surgery. The formation of pseudarthrosis is related to multiple factors, such as personal factors and surgical factors, and the incidence of postoperative lumbar pseudarthrosis in literature was 5%-56%. Because of there were no clinical symptoms or typical symptoms in the early stage of pseudarthrosis, it may be easily ignored by spine surgeons. At present, the diagnosis of postoperative lumbar pseudarthrosis is lack of a unified and reliable criterion, and the spine surgeons always combine with the patient＇s clinical symptoms and noninvasive imaging examination to assess and diagnose the postoperative pseudarthrosis. Before the revision surgery of symptomatic pseudarthrosis, we need to comprehensively analyze the failures of previous operation and the formation of pseudarthrosis, and then formulate corresponding measures to improve the success rate of surgical treatment. This article will explain the influence factors, diagnosis and surgical treatment of the pseudarthrosis after the lumbar spinal fusion surgery.
作者
漆龙涛
李淳德
张正
QI Long-tao;LI Chun-de;ZHANG Zheng(Group of Spine Surgery, Department of Orthopedics, Peking University 1st Hospital, Beijing, 100034, China)
出处
《中国骨与关节杂志》
CAS
2017年第11期847-851,共5页
Chinese Journal of Bone and Joint
关键词
脊柱融合术
腰椎
假关节
诊断
外科手术
Spinal fusion
Lumbar vertebrae
Pseudarthrosis
Diagnosis
Surgical procedures, operative
