• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

腰椎椎体截骨术：技术与结果

Lumbar pedicle subtraction osteotomy: techniques and outcomes.

作者信息

Bourghli Anouar, Boissiere Louis, Obeid Ibrahim

机构信息

Spine surgery department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

Spine surgery department, Clinique du Dos, Elsan Jean Villar Private hospital, Bordeaux, France.

出版信息

N Am Spine Soc J. 2024 Jul 6;19:100516. doi: 10.1016/j.xnsj.2024.100516. eCollection 2024 Sep.

DOI:10.1016/j.xnsj.2024.100516
PMID:39188669
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11345922/
Abstract

Pedicle subtraction osteotomy has been thoroughly described and studied over the past 2 decades, being applied mainly in the lumbar spine, followed by the thoracic spine. Our better understanding of alignment biomechanics, and the progressive refinements of the surgical technique over time made it a very efficient procedure for the management of fixed sagittal malalignment. However, a long learning curve is mandatory to mitigate the associated risks particularly neurological deficits and achieve satisfactory clinical and radiological outcomes with an acceptable rate of complications.

摘要

椎弓根截骨术在过去20年中已得到充分描述和研究，主要应用于腰椎，其次是胸椎。随着时间的推移，我们对矢状面生物力学的更好理解以及手术技术的不断完善，使其成为治疗固定矢状面畸形的一种非常有效的方法。然而，必须有一个较长的学习曲线来降低相关风险，特别是神经功能缺损，并以可接受的并发症发生率实现满意的临床和影像学结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/dfc5b5c6b905/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/ba12883c9bbb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/ea1797bede7a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/649fd8fd7e8c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/cef9d1a5e36f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/8606e660ba19/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/44ecb528ee9d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/57eb587c23b7/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/0df893ed68c0/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/dfc5b5c6b905/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/ba12883c9bbb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/ea1797bede7a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/649fd8fd7e8c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/cef9d1a5e36f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/8606e660ba19/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/44ecb528ee9d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/57eb587c23b7/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/0df893ed68c0/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b97d/11345922/dfc5b5c6b905/gr9.jpg

相似文献

1
Lumbar pedicle subtraction osteotomy: techniques and outcomes.腰椎椎体截骨术：技术与结果
N Am Spine Soc J. 2024 Jul 6;19:100516. doi: 10.1016/j.xnsj.2024.100516. eCollection 2024 Sep.
2
Domino connector for thoracic pedicle subtraction osteotomy reduction: surgical technique and patient series.胸椎管成形术减压的 Domino 连接器：手术技术和患者系列。
Eur Spine J. 2023 May;32(5):1800-1809. doi: 10.1007/s00586-023-07650-3. Epub 2023 Mar 20.
3
Radiographic outcome and complications after single-level lumbar extended pedicle subtraction osteotomy for fixed sagittal malalignment: a retrospective analysis of 55 adult spinal deformity patients with a minimum 2-year follow-up.单节段腰椎延长椎弓根截骨术治疗固定性矢状面畸形后的影像学结果及并发症：对55例成年脊柱畸形患者进行至少2年随访的回顾性分析
J Neurosurg Spine. 2018 Nov 9;30(2):242-252. doi: 10.3171/2018.7.SPINE171367. Print 2019 Feb 1.
4
Domino connector is an efficient tool to improve lumbar lordosis correction angle after pedicle subtraction osteotomy for adult spinal deformity.使用 Domino 连接器是提高成人脊柱畸形后路椎体切除截骨术后腰椎前凸矫正角度的有效工具。
Eur Spine J. 2022 Sep;31(9):2408-2414. doi: 10.1007/s00586-022-07322-8. Epub 2022 Jul 20.
5
Radiographic outcomes and complications after L4 or L5 pedicle subtraction osteotomy for fixed sagittal malalignment in 102 adult spinal deformity patients with a minimum 2-year follow-up.102例成人脊柱畸形患者行L4或L5椎弓根截骨术治疗固定性矢状面畸形后的影像学结果及并发症，随访至少2年。
Eur Spine J. 2022 Jan;31(1):104-111. doi: 10.1007/s00586-021-07008-7. Epub 2021 Sep 29.
6
Cervicothoracic junction kyphosis: surgical reconstruction with pedicle subtraction osteotomy and Smith-Petersen osteotomy. Presented at the 2009 Joint Spine Section Meeting. Clinical article.颈椎胸椎连接部后凸畸形：经椎弓根截骨术和 Smith-Petersen 截骨术的手术重建。2009 年脊柱联合分会会议上提出。临床文章。
J Neurosurg Spine. 2010 Dec;13(6):695-706. doi: 10.3171/2010.5.SPINE08608.
7
Posterior global malalignment after osteotomy for sagittal plane deformity: it happens and here is why.矢状面畸形截骨术后的后向整体失衡：它确实会发生，原因如下。
Spine (Phila Pa 1976). 2013 Apr 1;38(7):E394-401. doi: 10.1097/BRS.0b013e3182872415.
8
Mini-open pedicle subtraction osteotomy as a treatment for severe adult spinal deformities: case series with initial clinical and radiographic outcomes.微创开放椎弓根截骨术治疗重度成人脊柱畸形：初步临床及影像学结果的病例系列研究
J Neurosurg Spine. 2016 May;24(5):769-76. doi: 10.3171/2015.7.SPINE15188. Epub 2016 Jan 8.
9
A novel mathematical model of the sagittal spine: application to pedicle subtraction osteotomy for correction of fixed sagittal deformity.一种新型矢状面脊柱数学模型：在椎弓根截骨术矫正固定矢状面畸形中的应用。
Spine J. 2008 Mar-Apr;8(2):359-66. doi: 10.1016/j.spinee.2007.05.001. Epub 2007 Jun 21.
10
Asymmetric Three-Column Osteotomy for Coronal Malalignment in Adult Patients with Prior Thoracic Fusion for Adolescent Idiopathic Scoliosis: Three-Year Follow-up.不对称三柱截骨术治疗青少年特发性脊柱侧凸后路融合术后冠状面失平衡的成人患者：三年随访。
World Neurosurg. 2019 Nov;131:e441-e446. doi: 10.1016/j.wneu.2019.07.199. Epub 2019 Aug 2.

引用本文的文献

1
A novel pre-contoured V-shaped rod in one-level pedicle subtraction osteotomy for the treatment of rigid lumbar kyphosis caused by ankylosing spondylitis: technical note and case series.一种新型预塑形V形棒在一期椎弓根截骨术治疗强直性脊柱炎所致僵硬性腰椎后凸中的应用：技术说明与病例系列
BMC Musculoskelet Disord. 2025 Jul 4;26(1):613. doi: 10.1186/s12891-025-08872-w.

本文引用的文献

1
Proximal junctional kyphosis after adult spinal deformity operated patients with long fusion to the pelvis. Does the type of proximal anchor matter?成人脊柱畸形术后长节段融合至骨盆患者发生近端交界性后凸。近端固定方式是否重要？
Eur Spine J. 2024 Jul;33(7):2832-2839. doi: 10.1007/s00586-024-08332-4. Epub 2024 Jun 6.
2
Decisional regret following corrective adult spinal deformity surgery: a single institution study of incidence and risk factors.成人脊柱畸形矫正术后决策后悔：单中心研究发病率及危险因素。
Spine Deform. 2024 May;12(3):775-783. doi: 10.1007/s43390-023-00790-y. Epub 2024 Jan 30.
3
Patient-specific rods in adult spinal deformity: a systematic review.
成人脊柱畸形的个性化椎弓根钉棒系统：一项系统评价
Spine Deform. 2024 May;12(3):577-585. doi: 10.1007/s43390-023-00805-8. Epub 2024 Jan 24.
4
Sacropelvic Fixation for Adult Deformity Surgery Comparing Iliac Screw and Sacral 2 Alar-Iliac Screw Fixation: Systematic Review and Updated Meta-Analysis.成人畸形手术中骶骨盆固定：髂骨螺钉与骶2翼状髂骨螺钉固定的比较：系统评价与更新的荟萃分析
Neurospine. 2023 Dec;20(4):1469-1476. doi: 10.14245/ns.2346654.327. Epub 2023 Dec 31.
5
The Advantages of 4-rod Construct over the 2-rod Techniques in Adult Spinal Deformity Patients who Underwent Pedicle Subtraction Osteotomy: A Multicenter Retrospective Comparative Study.后路脊柱融合术后冠状面失平衡的危险因素分析：一项多中心回顾性研究。
World Neurosurg. 2024 Mar;183:e530-e539. doi: 10.1016/j.wneu.2023.12.137. Epub 2023 Dec 29.
6
Anatomic trajectory for iliac screw placement adapts better to the morphological features of the pelvis of each individual than the S2 alar iliac screw: a radiological study.解剖学轨迹更能适应每个个体骨盆的形态特征，而不是 S2 髂翼螺钉：一项影像学研究。
Acta Neurochir (Wien). 2023 Sep;165(9):2607-2614. doi: 10.1007/s00701-023-05692-6. Epub 2023 Jul 17.
7
Proximal junctional failure in primary thoracolumbar fusion/fixation to the sacrum/pelvis for adult symptomatic lumbar scoliosis: long-term follow-up of a prospective multicenter cohort of 160 patients.胸腰椎原发融合/固定至骶骨/骨盆治疗成人症状性腰椎侧凸的近侧交界性失败：160 例前瞻性多中心队列的长期随访。
J Neurosurg Spine. 2022 Nov 4;38(3):319-330. doi: 10.3171/2022.9.SPINE22549. Print 2023 Mar 1.
8
Lumbar Lordosis Correction With Transforaminal Lumbar Interbody Fusion in Adult Spinal Deformity Patients with Minimum 2-Year Follow-up.经至少 2 年随访的成人脊柱畸形患者行经椎间孔腰椎体间融合术矫正腰椎前凸
World Neurosurg. 2022 Nov;167:e295-e302. doi: 10.1016/j.wneu.2022.08.003. Epub 2022 Aug 8.
9
A brief human history of ankylosing spondylitis: A scoping review of pathogenesis, diagnosis, and treatment.强直性脊柱炎的简要人类病史：发病机制、诊断与治疗的范围综述
Surg Neurol Int. 2022 Jul 15;13:297. doi: 10.25259/SNI_294_2022. eCollection 2022.
10
Domino connector is an efficient tool to improve lumbar lordosis correction angle after pedicle subtraction osteotomy for adult spinal deformity.使用 Domino 连接器是提高成人脊柱畸形后路椎体切除截骨术后腰椎前凸矫正角度的有效工具。
Eur Spine J. 2022 Sep;31(9):2408-2414. doi: 10.1007/s00586-022-07322-8. Epub 2022 Jul 20.