单纯减压术及运动保留手术治疗腰椎融合术后邻近节段退变患者的研究进展  

Research Progress Decompression Alone and Motion Preserving Surgery in the Treatment of Adjacent Segmental Degeneration after Lumbar Fusion

作　　者：马泽坤 陶纪元 谢旭阳 任佳伟 邓强[1] MA Zekun;TAO Jiyuan;XIE Xuyang;REN Jiawei;DENG Qiang(Department of Spine Surgery,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)

机构地区：[1]新疆医科大学第一附属医院脊柱外科,新疆乌鲁木齐830011

出　　处：《中国伤残医学》2024年第23期156-160,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：新疆维吾尔自治区自然科学基金重点项目(2022D01D58)。

摘　　要：腰椎融合术后相邻节段病变(ASD)是一种退行性脊柱疾病,常见于腰椎融合手术后,表现为融合节段相邻的椎间盘发生退变、不稳定或滑脱。这种病变不仅影响脊柱的生理功能,还可能引发疼痛和神经根压迫等临床症状。尽管ASD的确切成因尚不完全清楚,但普遍认为腰椎的自然退变和融合手术是可能的诱因。在临床实践中,对于保守治疗无效的ASD患者,通常需进行手术治疗以减轻症状。传统的腰椎后路减压融合手术是治疗ASD的常用方法。但随着脊柱微创外科技术的不断进步,如单纯减压术、运动保留手术等微创技术,因其创伤小、恢复快的优势,逐渐成为许多医生的首选。本文将对目前腰椎融合术后ASD的手术翻修策略进行综述。Postoperative adjacent segment disease(ASD)is a degenerative spinal disease that occurs after lumbar fusion surgery and is characterized by degeneration,instability,or slip of the intervertebral discs adjacent to the fusion segment.This lesion not only affects the physiological function of the spine,but may also cause clinical symptoms such as pain and nerve root compression.Although the exact cause of ASD is not fully understood,natural degeneration of the lumbar spine and fusion surgery are widely believed to be possible triggers.In clinical practice,for patients with ASD who do not respond to conservative treatment,surgery is often required to alleviate symptoms.Traditional posterior lumbar decompression and fusion surgery is a common method for the treatment of ASD.However,with the continuous progress of minimally invasive spinal surgery technologies,such as decompression alone,motion preservation surgery and other minimally invasive technology,have gradually become thefirst choice of many doctors because of their advantages of less trauma and faster recovery.This article reviews the current surgical revision strategies for ASD after lumbar fusion.

关 键 词：邻近节段退变 腰椎融合术 单纯减压术 

分 类 号：R681.533[医药卫生—骨科学]