腰椎融合术后发生邻椎病的相关危险因素研究进展  

Progress in the Study of Risk Factors Associated with the Occurrence of Adjacent Segment Disease after Lumbar Fusion Surgery

作　　者：吴真 郭海龙[1] WU Zhen;GUO Hailong(Department of Minimally Invasive Spine and Precision Orthopaedics,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院脊柱微创及精准骨科,新疆乌鲁木齐830054

出　　处：《中国医学创新》2025年第10期170-174,共5页Medical Innovation of China

摘　　要：腰椎融合术在治疗需要稳定减压的退行性脊柱疾病方面显示出令人满意的临床效果,但行腰椎融合术后可能会加速邻椎病(adjacentsegmentdisease,ASD)的发生,这严重影响临床预后和生活质量。由于其临床特点复杂,明确其危险因素显得尤为重要,随着国内外学者研究的深入,其大致可分为患者自身的自然退变性因素及与手术相关的医源性因素。因此,本文对可能会造成ASD发生的危险因素进行综述,从而也为临床上如何预防腰椎术后ASD的发生提供更多证据和参考。Lumbar fusion has shown satisfactory clinical results in the treatment of degenerative spinal diseases requiring stable decompression,but the occurrence of adjacent segment disease(ASD)may be accelerated after lumbar fusion,which seriously affects clinical prognosis and quality of life.Due to the complexity of its clinical characteristics,it is particularly important to clarify its risk factors,which can be broadly categorized into the patients'own natural degenerative factors and the medical factors related to the surgery with the deepening of research by scholars at home and abroad.Therefore,this paper provides an overview of the risk factors that may cause the occurrence of ASD,so that it can also provide more evidence and references for how to prevent the occurrence of ASD after lumbar spine surgery in the clinic.

关 键 词：邻椎病 腰椎融合 危险因素 

分 类 号：R687.3[医药卫生—骨科学]