摘要
退变性脊柱畸形作为一种复杂的三维畸形，多见于中老年患者，常常合并严重的椎管狭窄而表现出相应症状，手术难度高且围手术期风险大。手术目的主要在于椎管减压，松解受压的神经根，终止畸形进展和重建脊柱平衡。近年来，退变性脊柱畸形矢状位平衡的相关问题受到越来越多的关注。退变性脊柱畸形矫形技术的合理应用以及近端和远端融合椎的恰当选择，对患者畸形矫正及术后症状的改善至关重要。
As the complicated and three-dimensional deformity, degenerative spinal deformity is common in middle-aged and elderly patients, which often accompanies with severe lumbar spinal stenosis and corresponding symptoms, high surgical difficulties and risks in perioperative periods. The aims of the surgery are removing decompression of spinal cord and nerve root, ending the process of deformity and rebuilding spinal balance. Recently, relevant problems of sagittal balance in degenerative spinal deformity have attracted more and more attention. Proper use of orthopedic technique and correct choice of upper and lower instrumented vertebra play a key role in deformity correction and improvement of postoperative symptoms.
作者
刘海鹰
Liu Haiying(Department of Spinal Surgery,Peking University People＇s Hospital,Beijing 100044,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2018年第9期653-655,共3页
Chinese Journal of Surgery
关键词
胸椎
腰椎
退行性疾病
矫形外科手术
治疗策略
Thoracic vertebrae
Lumbar vertebrae
Degenerative diseases
Orthopedic procedures
Strategies of treatment
