Shah Manan, Kolb Bradley, Yilmaz Emre, Halalmeh Dia R, Moisi Marc D
Neurosurgery, Wayne State University, Detroit Medical Center, Detroit, USA.
Neurosurgery, Rush University Medical Center, Chicago, USA.
Cureus. 2019 Sep 18;11(9):e5691. doi: 10.7759/cureus.5691.
Lumbar spinal stenosis is defined as narrowing of the lumbar spinal canal, which causes compression of the spinal cord and nerves. Spinal stenosis can cause leg pain and potentially back pain that can affect the quality of life. Ultimately, surgical decompression is required to alleviate the symptoms. In this review, we first utilize several important studies to compare lumbar laminectomy alone versus lumbar laminectomy and fusion. We also compare the effectiveness of more novel surgical approaches, stand-alone anterior lumbar interbody fusion (ALIF), and stand-alone lateral lumbar interbody fusion (LLIF). These techniques have their own advantages and disadvantages in which many factors must be taken into account before choosing a surgical approach. In addition, the patient's anatomy and pathology, lifestyle, and desires should be analyzed to help determine the ideal surgical strategy.
腰椎管狭窄症的定义是腰椎管狭窄，导致脊髓和神经受压。椎管狭窄会引起腿痛，并可能导致背痛，进而影响生活质量。最终，需要进行手术减压以缓解症状。在本综述中，我们首先利用几项重要研究来比较单纯腰椎椎板切除术与腰椎椎板切除术加融合术。我们还比较了更新颖的手术方法、单纯前路腰椎椎间融合术（ALIF）和单纯外侧腰椎椎间融合术（LLIF）的有效性。这些技术各有优缺点，在选择手术方法之前必须考虑许多因素。此外，应分析患者的解剖结构和病理情况、生活方式及需求，以帮助确定理想的手术策略。
