重度腰椎滑脱的治疗进展  

Progress in treatment of high-grade spondylolisthesis

作　　者：张童畅 王清 孔清泉[3] 杨进 ZHANG Tongchang;WANG Qing;KONG Qingquan;YANG Jin(School of Clinical Medical Sciences,Southwest Medical University,Luzhou Sichuan,646000,P.R.China;Department of Orthopedics,the Affiliated Hospital,Southwest Medical University,Luzhou Sichuan,646000,P.R.China;Department of Orthopedics,West China Hospital,Sichuan University,Chengdu Sichuan,610041,P.R.China)

机构地区：[1]西南医科大学临床医学院,四川泸州646000 [2]西南医科大学附属医院骨科,四川泸州646000 [3]四川大学华西医院骨科,成都610041

出　　处：《中国修复重建外科杂志》2024年第2期226-233,共8页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：四川省科技厅重点研发项目(2023YFS0097)。

摘　　要：目的 对重度腰椎滑脱(high-grade spondylolisthesis,HS)的治疗进展进行综述,以期为临床治疗决策提供参考。方法 广泛查阅国内外近年来HS治疗的相关文献,对保守治疗、原位融合、滑脱复位等治疗方式进行分析和总结。结果 HS的治疗以手术为主,但对于最佳手术方式的选择存在很大争议,不同手术的优缺点和适用情况也不同,临床需要个体化分析。结论 HS治疗方式的选择需要根据患者个体情况综合考虑,进一步比较现有治疗方法及研发更加安全有效的新技术是重要研究方向。Objective To review the research progress in the treatment of high-grade spondylolisthesis(HS),in order to provide a reference for clinical treatment decision-making.Methods The literature related to the treatment of HS at home and abroad in recent years was widely reviewed.The methods of conservative treatment,in situ fusion,and spondylolisthesis reduction were analyzed and summarized.Results Surgical treatment is the main treatment of HS,but which method is the best is still controversial.The advantages,disadvantages,and applicability of various operations are also different,so individualized analysis is needed in clinic.Conclusion The treatment plan of HS needs to be considered comprehensively according to the individual condition of the patient.It will be an important research direction to further compare the existing treatment methods and develop more safe and effective new technology.

关 键 词：重度腰椎滑脱 手术治疗 滑脱复位 神经损伤 

分 类 号：R687.3[医药卫生—骨科学]