腰椎融合术的发展趋势——文献综述
Trends in lumbar spinal fusion-a literature review.
作者信息
Reisener Marie-Jacqueline, Pumberger Matthias, Shue Jennifer, Girardi Federico P, Hughes Alexander P
机构信息
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Department of Traumatology and Orthopedic Surgery, Charite-University Hospital Berlin, Berlin, Germany.
出版信息
J Spine Surg. 2020 Dec;6(4):752-761. doi: 10.21037/jss-20-492.
Abstract
Over the past several decades, there has been an upward trend in the total number of spinal fusion procedures worldwide. Advanced spinal fusion techniques with or without internal fixation, additional innovations in surgical approaches, innovative implants including a wide variety of interbody devices, and new alternatives in bone grafting materials are some reasons for the increasing number of spine fusion procedures. Moreover, the indications for spinal fusion have broadened over time. Initially developed for the treatment of instability and deformity due to tuberculosis, scoliosis, and traumatic injury, spinal fusion surgery has now a wide range of indications like spondylolisthesis, congenital or degenerative deformity, spinal tumors, and pseudarthrosis, with degenerative disorders as the most common indication. This review emphasizes current lumbar fusion techniques and their development in the past decades.
摘要
在过去几十年中，全球脊柱融合手术的总数呈上升趋势。采用或不采用内固定的先进脊柱融合技术、手术入路的其他创新、包括各种椎间装置在内的创新植入物以及骨移植材料的新替代物是脊柱融合手术数量增加的一些原因。此外，脊柱融合的适应症随着时间的推移而扩大。脊柱融合手术最初是为治疗因结核病、脊柱侧弯和创伤性损伤引起的不稳定和畸形而开发的，现在有广泛的适应症，如腰椎滑脱、先天性或退行性畸形、脊柱肿瘤和假关节，其中退行性疾病是最常见的适应症。本综述强调了当前的腰椎融合技术及其在过去几十年中的发展。
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