Lang G, Steib J P, Kehr P
Hôpital chirurgical orthopédique Stéphanie, Strasbourg.
Chirurgie. 1990;116(3):336-9; discussion 340.
All types of lumbar pain are of course not an indication for surgery. However, an operation may bring relief from lymbodynia in given conditions, owing to the better knowledge of spinal physiopathology and to the evolution of the surgical technique. This is the case for intervertebral disk pathology, lesions of the posterior articular structures, lumbar canal stenosis, vertebral tumors or malunions, as well as for some cases of painful frontal or sagittal deviation of the spine. State-of-the art techniques utilize arthrodesis, often with a plate or CD-material osteosynthesis, but future surgery should be aimed at preserving motion.
当然，并非所有类型的腰痛都需要进行手术。然而，由于对脊柱生理病理学有了更深入的了解以及手术技术的发展，在特定情况下，手术可能会缓解肢体疼痛。椎间盘病变、后关节结构损伤、腰椎管狭窄、椎体肿瘤或畸形愈合，以及一些脊柱前凸或后凸疼痛的病例均属这种情况。目前的先进技术采用关节融合术，通常还会使用接骨板或CD材料进行骨合成，但未来的手术应致力于保留脊柱活动度。
