腰椎融合术后邻近节段退变的临床研究现状  

Clinical Research Status of Adjacent Segment Degeneration After Lumbar Spinal Fusion

作　　者：张波[1,2] 李伟[1,2] 苟林[1,2] 李亮[1,2] 张兵 吴辉[1,2] 林宏 

机构地区：[1]四川省南充市中心医院 [2]川北医学院第二临床医学院骨科,637000

出　　处：《中国继续医学教育》2015年第8期28-28,共1页China Continuing Medical Education

摘　　要：目的分析腰椎融合术后邻近节段退变的临床研究现状。方法收集我院近年来出现的腰椎融合术后邻近节段退变的临床资料,综合分析腰椎融合术后邻近节段退变的研究现状。结果邻近节段退变的概念包括影像学邻近节段退变和临床症状邻近节段退变,前者的发生率最低为8%,最高可达到95%,临床症状邻近节段退变的发生率最低为5.2%,最高为18.5%。对于邻近节段退变的预防措施主要有:术中减少融合节段、应用非融合技术、维持矢状面平衡等等。结论腰椎融合术后很容易发生邻近节段退变,通过对患者应用非融合技术可显著减少邻近节段退变的发生。ObjectiveClinical research status of adjacent segment degeneration after lumbar fusion analysis.Methods The clinical data of adjacent segment degeneration collected in our hospital in recent years appeared after lumbar fusion, research status of adjacent segment degeneration after lumbar fusion and comprehensive analysis. Results The concept of adjacent segment degeneration included imaging of adjacent segment degeneration of adjacent segment degeneration and clinical symptoms, the incidence of a minimum of 8% of the former, up to 95%, the lowest incidence of clinical symptoms for 5.2% adjacent segment degeneration, a maximum of 18.5%. For adjacent segment degeneration prevention measures include： to reduce intraoperative fusion segments, application of non fusiontechnology, sagittal balance etc. ConclusionAfter lumbar fusion is prone to adjacent segment degeneration, the patients with application of non fusion technology can signiifcantly reduce the incidence of adjacent segment degeneration.

关 键 词：腰椎融合术 邻近节段退变 研究现状 

分 类 号：R687[医药卫生—骨科学]