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椎弓根延长截骨术对腰椎稳定性影响的评估

Evaluation of the influence of pedicle-lengthening osteotomy on lumbar stability.

作者信息

Gao Maofeng, Zou Jun, Zhang Zhigang, Luo Zongping, Yang Huilin

机构信息

Department of Orthopaedic Surgery, The First Affiliated Hospital of Soochow University 188 Shizi St., Suzhou, China.

出版信息

Am J Transl Res. 2016 May 15;8(5):2070-8. eCollection 2016.

Abstract

Pedicle-lengthening osteotomy (PLO) is a minimally invasive and effective surgical procedure for lumbar spinal stenosis syndrome. Compared with traditional surgery, PLO can effectively enlarge the spinal canal while minimizing the disruption of posterior anatomical structures of the lumbar vertebra, leading to reduced postoperative perineural scarring adhesion and good clinical outcomes using minimally invasive procedures. However, PLO is still in its early stages, and only a few relevant experimental and clinical studies have been reported. The present study was performed to investigate the influence of PLO on the stability of lumbar vertebrae. The results indicated that PLO can effectively enlarge the spinal canal, and no lumbar spondylolisthesis or other complications occurred in this study. Moreover, this procedure does not significantly affect the stability of the lumbar spine, suggesting a possible clinical application.

摘要

椎弓根延长截骨术(PLO)是治疗腰椎管狭窄综合征的一种微创且有效的手术方法。与传统手术相比,PLO能在最大限度减少腰椎后部解剖结构破坏的同时有效扩大椎管,从而减少术后神经周围瘢痕粘连,并通过微创操作取得良好的临床效果。然而,PLO仍处于早期阶段,仅有少数相关的实验和临床研究报道。本研究旨在探讨PLO对腰椎稳定性的影响。结果表明,PLO能有效扩大椎管,本研究中未发生腰椎滑脱或其他并发症。此外,该手术对腰椎稳定性无显著影响,提示其可能具有临床应用价值。

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