脊柱管狭窄症及固定性矢状面失衡的治疗。
Treatment of spinal stenosis and fixed sagittal imbalance.
作者信息
Bridwell K H, Lenke L G, Lewis S J
机构信息
Department of Orthopaedic Surgery, Barnes-Jewish Hospital, Washington University, St Louis, MO 63110, USA.
出版信息
Clin Orthop Relat Res. 2001 Mar(384):35-44. doi: 10.1097/00003086-200103000-00006.
Most commonly, sagittal imbalance associated with stenosis is seen with a hypolordotic fusion mass, junctional kyphosis, and junctional stenosis. If the deformity is flexible, it can be treated with anterior and posterior fusion with anterior structural grafting. If it is fixed, which it usually is, then a pedicle subtraction procedure with decompression and extension of the fusion usually is the most suitable operative approach.
最常见的是，与狭窄相关的矢状面失衡表现为腰椎前凸融合块、交界性后凸和交界性狭窄。如果畸形是可复性的，可以采用前路和后路融合并进行前路结构性植骨治疗。如果是固定性的（通常如此），那么椎弓根截骨减压并延长融合的手术通常是最合适的手术方法。
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