Silcox D H
Assistant Professor of Orthopaedic Surgery, The Emory Spine Center, Emory University School of Medicine, Decatur, Georgia, USA.
Orthop Clin North Am. 1998 Oct;29(4):655-63. doi: 10.1016/s0030-5898(05)70038-9.
Studies that show laparoscopic lumbar fusion to decrease cost or time of hospitalization or to increase the speed or incidence of return to activities are not currently available. Laparoscopic fusion of the lumbar spine appears to be a potentially attractive approach to treating axial back pain secondary to different causes. Although the technique is attractive because of its minimally invasive nature and marketing allure, it has yet to be established as to what the true clinical efficacy of this procedure will be. Further clinical study of these techniques with longer follow-up, and case-controlled studies should help clinicians to know the best fusion technique to offer patients.
目前尚无研究表明腹腔镜腰椎融合术能降低成本或缩短住院时间,或提高恢复活动的速度或发生率。腰椎的腹腔镜融合术似乎是治疗由不同原因引起的轴向背痛的一种潜在有吸引力的方法。尽管该技术因其微创性质和市场吸引力而颇具吸引力,但该手术的真正临床疗效仍有待确定。对这些技术进行更长时间随访的进一步临床研究以及病例对照研究,应有助于临床医生了解为患者提供的最佳融合技术。