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微创治疗低度腰椎滑脱症:经皮内镜或斜侧腰椎体间融合术。

Minimally invasive surgery for low-grade spondylolisthesis: percutaneous endoscopic or oblique lumbar interbody fusion.

机构信息

Department of Orthopaedics, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang Province, China.

People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang Province, China.

出版信息

J Comp Eff Res. 2020 Jun;9(9):639-650. doi: 10.2217/cer-2020-0022. Epub 2020 Jun 18.

DOI:10.2217/cer-2020-0022
PMID:32551889
Abstract

To compare the clinical and radiographic outcomes of percutaneous endoscopic-assisted lumbar interbody fusion (PELIF) versus oblique lumbar interbody fusion (OLIF) for the treatment of symptomatic low-grade lumbar spondylolisthesis. The clinical and radiographic records of 48 patients underwent single-level minimally invasive lumbar fusion with a PELIF (n = 16) or OLIF (n = 32) were reviewed. The clinical and radiographic outcomes were similar in both groups. PELIF procedure exhibited superior capability of the enlargement of foraminal width, but inferior capability of the restoration of foraminal height than OLIF procedure. PELIF minimizes the iatrogenic damages and perioperative risks to a great extent, and seems to be a promising option for the treatment of symptomatic low-grade lumbar spondylolisthesis.

摘要

比较经皮内镜辅助腰椎体间融合术(PELIF)与斜外侧腰椎体间融合术(OLIF)治疗症状性低度腰椎滑脱的临床和影像学结果。回顾了 48 例接受单节段微创腰椎融合术的患者的临床和影像学记录,其中 PELIF(n=16)或 OLIF(n=32)。两组的临床和影像学结果相似。PELIF 手术在扩大椎间孔宽度方面表现出更好的能力,但在恢复椎间孔高度方面的能力不如 OLIF 手术。PELIF 最大限度地减少了医源性损伤和围手术期风险,似乎是治疗症状性低度腰椎滑脱的一种有前途的选择。

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