经椎间孔腰椎椎间融合术后出现对侧肢体神经症状的研究进展  

Clinical progress concerning contralateral radiculopathy after transforaminal lumbar interbody fusion

作　　者：刘大铭 姬宇飞 邱海洋 黄鑫怡 杨意鹏 雷伟 张扬 Liu Daming;Ji Yufei;Qiu Haiyang;Huang Xinyi;Yang Yipeng;Lei Wei;Zhang Yang(Eight-year Program Cadet Regiment,School of Basic Medical Sciences,Air Force Medical University,Xi'an 710032,China;Department of Orthopedics,The First Hospital Affiliated to Air Force Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学基础医学院八年制学员大队,西安710032 [2]空军军医大学第一附属医院骨科,西安710032

出　　处：《中华创伤骨科杂志》2025年第1期88-92,共5页Chinese Journal of Orthopaedic Trauma

基　　金：陕西省重点研发计划(2023-YBSF-146)。

摘　　要：对侧肢体神经症状是经椎间孔腰椎椎间融合术后可能出现的一种并发症,指的是术后出现的与症状侧或手术减压侧相对的另一侧下肢出现麻木、疼痛等神经症状。其原因主要包括:过度恢复脊柱前凸、融合器位置不当造成椎间隙倾斜、螺钉位置不佳、新发髓核或植骨块突出、血肿等。目前,对这一并发症的重视程度逐渐增加。本文对对侧肢体神经症状相关报道进行综述,总结其危险因素,提出预防措施,提高这一并发症的防范意识。Contralateral radiculopathy,a postoperative complication after transforaminal lumbar interbody fusion,refers to postoperative numbness,pain and other neurological symptoms of the lower limb on the side opposite to the symptomatic or the surgical decompression side.Its main causes include excessive restoration of lordosis,intervertebral space tilt caused by improper cage position,poor screw position,new protrusion of nucleus pulposus or bone graft,and hematoma.At present,attention to this complication is gradually increasing.This review summarizes its risk factors from the recent related reports of the condition and puts forward preventive measures in order to promote the preventive awareness of this complication.

关 键 词：脊柱融合术 手术后并发症 体征和症状 危险因素 预防措施 

分 类 号：R687.3[医药卫生—骨科学]