• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

经皮棘突间撑开术治疗动力性腰椎管狭窄症和腰痛

[Percutaneous interspinous distraction for the treatment of dynamic lumbar spinal stenosis and low back pain].

作者信息

Mayer H Michael, Zentz Florian, Siepe Christoph, Korge Andreas

机构信息

Wirbelsäulenzentrum, Schön Klinik München Harlaching, München, Germany.

出版信息

Oper Orthop Traumatol. 2010 Nov;22(5-6):495-511. doi: 10.1007/s00064-010-1004-4.

DOI:10.1007/s00064-010-1004-4
PMID:21153008
Abstract

UNLABELLED

SURGICAL GOAL: Surgical treatment of dynamic lumbar spinal stenosis and discogenic/arthrogenic low back pain with a new percutaneous interspinous spacer as a therapeutic alternative to more invasive standard procedures.

INDICATIONS

Central, lateral and foraminal dynamic lumbar spinal stenosis. Discogenic and arthrogenic (facet osteoarthritis) low back pain. Symptomatic, segmental hyperlordosis. Disc degeneration with dynamic (reducible) retrolisthesis. Interspinous pain ('Kissing-Spines').

CONTRAINDICATIONS

Osteoporosis. Conus-/Cauda-syndrome. Structural spinal stenosis. Spondylolisthesis (degenerative and/or isthmic). Deformities. Previous posterior operation in index segment.

SURGICAL TECHNIQUE

Percutaneous, minimally invasive implantation of an interspinous spacer (InSpace ™, Synthes, Oberdorf, Switzerland).

POSTOPERATIVE MANAGEMENT

Early unrestricted mobilization.

RESULTS

Good early results (after 2 year follow-up) in 42 patients with 76% subjective patient satisfaction rate. No approach related complications. Avoidance of the more invasive alternative procedure (decompression, fusion, total disc replacement) in 76.2% of the patients.

摘要

未标注

手术目标：采用新型经皮棘突间间隔器对动力性腰椎管狭窄症和椎间盘源性/关节源性下腰痛进行手术治疗，作为更具侵入性的标准手术的一种治疗选择。

适应症

中央型、侧方型和椎间孔型动力性腰椎管狭窄症。椎间盘源性和关节源性（小关节骨关节炎）下腰痛。症状性节段性腰椎前凸。伴有动力性（可复位）椎体滑脱的椎间盘退变。棘突间疼痛（“亲吻棘突”）。

禁忌症

骨质疏松症。圆锥/马尾综合征。结构性椎管狭窄。椎体滑脱（退行性和/或峡部裂性）。脊柱畸形。索引节段既往有后路手术史。

手术技术

经皮微创植入棘突间间隔器（InSpace™，辛迪思，瑞士奥伯多夫）。

术后管理

早期无限制活动。

结果

42例患者早期效果良好（随访2年），患者主观满意率达76%。无与手术入路相关的并发症。76.2%的患者避免了更具侵入性的替代手术（减压、融合、全椎间盘置换）。

相似文献

1
[Percutaneous interspinous distraction for the treatment of dynamic lumbar spinal stenosis and low back pain].经皮棘突间撑开术治疗动力性腰椎管狭窄症和腰痛
Oper Orthop Traumatol. 2010 Nov;22(5-6):495-511. doi: 10.1007/s00064-010-1004-4.
2
[Treatment of dynamic spinal canal stenosis with an interspinous spacer].[采用棘突间撑开器治疗动力性椎管狭窄]
Oper Orthop Traumatol. 2010 Nov;22(5-6):524-35. doi: 10.1007/s00064-010-9042-5.
3
[Interspinous spacers--technique of Coflex™ implantation].
Oper Orthop Traumatol. 2010 Nov;22(5-6):536-44. doi: 10.1007/s00064-010-9029-2.
4
[Minimally invasive anterior approaches to the lumbosacral junction].[腰骶关节的微创前路入路]
Oper Orthop Traumatol. 2010 Nov;22(5-6):582-92. doi: 10.1007/s00064-010-8051-8.
5
[Interspinous implant "InSWing®" for the lumbar spine].
Oper Orthop Traumatol. 2010 Nov;22(5-6):512-23. doi: 10.1007/s00064-010-9035-4.
6
Does an interspinous device (Coflex) improve the outcome of decompressive surgery in lumbar spinal stenosis? One-year follow up of a prospective case control study of 60 patients.棘突间装置（Coflex）是否能改善腰椎管狭窄症减压手术后的疗效？一项前瞻性病例对照研究的 60 例患者 1 年随访结果。
Eur Spine J. 2010 Feb;19(2):283-9. doi: 10.1007/s00586-009-1229-9. Epub 2009 Dec 5.
7
[Total cervical disk replacement--implant-specific approaches: keel implant (Prodisc-C intervertebral disk prosthesis)].[全颈椎间盘置换术——特定植入物方法：龙骨植入物（Prodisc-C 椎间磁盘假体）]
Oper Orthop Traumatol. 2010 Nov;22(5-6):480-94. doi: 10.1007/s00064-010-9024-7.
8
[Dynamic posterior stabilization with the pedicle screw system DYNESYS®].[使用椎弓根螺钉系统DYNESYS®进行动态后路稳定术]
Oper Orthop Traumatol. 2010 Nov;22(5-6):545-57. doi: 10.1007/s00064-010-1007-1.
9
[Minimal invasive anterior midline approach to L2-L5].[L2-L5的微创前正中入路]
Oper Orthop Traumatol. 2010 Nov;22(5-6):573-81. doi: 10.1007/s00064-010-8053-6.
10
Treatment of lumbar spinal stenosis with a total posterior arthroplasty prosthesis: implant description, surgical technique, and a prospective report on 29 patients.使用全后路关节置换假体治疗腰椎管狭窄症：植入物描述、手术技术及29例患者的前瞻性报告
Neurosurg Focus. 2007 Jan 15;22(1):E13. doi: 10.3171/foc.2007.22.1.13.

本文引用的文献

1
A novel technique of intra-spinous process injection of PMMA to augment the strength of an inter-spinous process device such as the X STOP.一种新型的经椎板间隙注射聚甲基丙烯酸甲酯（PMMA）以增强棘突间装置（如X STOP）强度的技术。
Spine (Phila Pa 1976). 2008 Feb 15;33(4):452-6. doi: 10.1097/BRS.0b013e318163e06d.
2
Self-rated evaluation of outcome of the implantation of interspinous process distraction (X-Stop) for neurogenic claudication.对用于神经源性间歇性跛行的棘突间撑开器（X-Stop）植入效果的自我评估
Eur Spine J. 2008 Feb;17(2):200-3. doi: 10.1007/s00586-007-0540-6. Epub 2007 Oct 31.
3
Dynamic intraspinous spacer technology for posterior stabilization: case-control study on the safety, sagittal angulation, and pain outcome at 1-year follow-up evaluation.
用于后路稳定的动态棘突间撑开器技术：1年随访评估中关于安全性、矢状面成角和疼痛结局的病例对照研究。
Neurosurg Focus. 2007 Jan 15;22(1):E7.
4
Appropriate selection of patients with lumbar spinal stenosis for interspinous process decompression with the X STOP device.使用X STOP装置对腰椎管狭窄症患者进行棘突间减压的合适选择。
Neurosurg Focus. 2007 Dec 15;22(1):E5. doi: 10.3171/foc.2007.22.1.5.
5
Interspinous process devices in the lumbar spine.腰椎棘突间装置
J Spinal Disord Tech. 2007 May;20(3):255-61. doi: 10.1097/BSD.0b013e3180331352.
6
Quality of life of lumbar stenosis-treated patients in whom the X STOP interspinous device was implanted.植入X STOP棘突间装置的腰椎管狭窄症治疗患者的生活质量。
J Neurosurg Spine. 2006 Dec;5(6):500-7. doi: 10.3171/spi.2006.5.6.500.
7
Influence of X Stop on neural foramina and spinal canal area in spinal stenosis.X Stop对椎管狭窄症中神经孔和椎管面积的影响。
Spine (Phila Pa 1976). 2006 Dec 1;31(25):2958-62. doi: 10.1097/01.brs.0000247797.92847.7d.
8
Effects of X-STOP device on sagittal lumbar spine kinematics in spinal stenosis.X-STOP 装置对腰椎管狭窄症患者腰椎矢状面运动学的影响。
J Spinal Disord Tech. 2006 Jul;19(5):328-33. doi: 10.1097/01.bsd.0000211297.52260.d5.
9
Interspinous process decompression with the X-STOP device for lumbar spinal stenosis: a 4-year follow-up study.使用X-STOP装置进行棘突间减压治疗腰椎管狭窄症：一项4年随访研究。
J Spinal Disord Tech. 2006 Jul;19(5):323-7. doi: 10.1097/01.bsd.0000211294.67508.3b.
10
Treatment of neurogenic claudication by interspinous decompression: application of the X STOP device in patients with lumbar degenerative spondylolisthesis.经椎间隙减压治疗神经源性间歇性跛行：X STOP 装置在腰椎退行性椎体滑脱患者中的应用
J Neurosurg Spine. 2006 Jun;4(6):463-71. doi: 10.3171/spi.2006.4.6.463.