重度发育性脊柱滑脱症中腰椎前凸的重建挑战。
The Challenge of Creating Lordosis in High-Grade Dysplastic Spondylolisthesis.
机构信息
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55454, USA.
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55454, USA; Department of Neurosurgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55454, USA.
出版信息
Neurosurg Clin N Am. 2018 Jul;29(3):375-387. doi: 10.1016/j.nec.2018.03.006.
High-grade dysplastic spondylolisthesis (HGDS) is a subset of L5-S1 spondylolisthesis that occurs due to dysmorphic anatomy at the lumbosacral junction, often resulting in sagittal imbalance. Enhanced understanding of global sagittal alignment has led many to preferentially treat HGDS with reduction and fusion to restore sagittal balance. The purpose of this article is to review published surgical techniques for obtaining sagittal correction in HGDS and to evaluate the current evidence regarding the associated surgical complications.
高度发育不良性腰椎滑脱症（HGDS）是 L5-S1 腰椎滑脱症的一个亚组，由于腰骶连接部的畸形解剖结构而发生，常导致矢状面失平衡。对整体矢状面排列的深入了解促使许多人更倾向于通过复位和融合来治疗 HGDS，以恢复矢状面平衡。本文的目的是回顾发表的用于获得 HGDS 矢状面矫正的手术技术，并评估相关手术并发症的现有证据。
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