[退变性脊柱侧凸融合节段手术选择的研究进展]
[RESEARCH PROGRESS OF SURGICAL SELECTION OF FUSION LEVELS FOR DEGENERATIVE SCOLIOSIS].
作者信息
Shang Zhenguo, Li Yongmin
机构信息
Graduate School of North China University of Science and Technology, Tangshan Hebei, 063000, P. R. China.
The First Department of Spinal Surgery, the Second Hospital of Tangshan.
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016 Aug 8;30(8):1044-1048. doi: 10.7507/1002-1892.20160209.
OBJECTIVE
To summarize the progress of the surgical selection of fusion levels for degenerative scoliosis.
METHODS
The domestic and foreign related literature about degenerative scoliosis, including clinical features, classification, surgical treatment, and the fused segment, was summarized.
RESULTS
Degenerative scoliosis is very complicated. Short segment fusion and long segment fusion are the main surgical types. The long segment fusion is better in terms of reconstructing the stability of spine; however, it has more related complications. The short segment fusion has been used widely in clinical, but it causes degenerative disease easily. W/AL value can be used to direct the selection of short or long segment fusion for degenerative scoliosis.
CONCLUSIONS
The key to success surgery is choosing reasonable fused segment. Now there is no unified selection standard. With more knowledge about degenerative scoliosis, greater development can be expected in the future.
目的
总结退行性脊柱侧凸融合节段手术选择的进展。
方法
总结国内外有关退行性脊柱侧凸的相关文献，包括临床特征、分类、手术治疗及融合节段。
结果
退行性脊柱侧凸情况复杂。短节段融合和长节段融合是主要手术方式。长节段融合在重建脊柱稳定性方面更佳，但相关并发症更多。短节段融合在临床应用广泛，但易引发退行性疾病。W/AL值可用于指导退行性脊柱侧凸短节段或长节段融合的选择。
结论
手术成功的关键在于选择合理的融合节段。目前尚无统一的选择标准。随着对退行性脊柱侧凸了解的增多，未来有望取得更大进展。
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