腰椎峡部裂的治疗进展

发布时间：2018-06-23 04:56

本文选题：脊椎滑脱 + 外科手术　；参考：《中国组织工程研究》2017年27期

【摘要】：背景:腰椎峡部裂常由于椎弓承受过度负荷而导致,应力性骨折可为其重要的前提要素之一,或可能伴有遗传倾向。峡部裂的治疗可分为保守治疗和手术治疗两种,各种治疗方案的适用人群、手术要点及预后等均存在着差异。目的:检索现有的有关峡部裂治疗的文献,并对其适用范围、手术优缺点等方面的内容进行综述。方法:通过Pub Med、中国知网、VIP等数据库进行文献检索,检索关键词为"峡部裂"(spondylolysis)、"峡部裂型滑脱"(isthmic spondylolisthesis)、"治疗"(treatment/therapy),不限定检索时间。对检索所得文献进行摘要阅读后依据治疗方案进行区组。并记录其适用范围、手术要点、治疗的优缺点等内容。结果和结论:峡部裂的手术治疗又可分为节段内非固定术、Buck峡部螺钉固定法、Scott横突棘突间钢丝捆绑法、椎弓根钉-椎板钩固定法、记忆合金节段内固定法、节段间融合术以及微创治疗等。当前较为广泛应用的治疗方法为Buck法和椎弓根螺钉-椎板钩内固定。峡部裂的微创治疗也越来越受到患者的认可。
[Abstract]:Background: lumbar spondylolysis is often caused by overloading of the pedicle. Stress fracture may be an important prerequisite or may be associated with genetic predisposition. The treatment of isthmic fissure can be divided into conservative treatment and surgical treatment. Objective: to search the literature on isthmic fissure treatment, and summarize its application, advantages and disadvantages. Methods: through the database of Pub Medand and VIP, the key words were "(spondylolysis)," and "(isthmic spondylolisthesis)," therapy (treatment/therapy). The search time was not limited. After reading the retrieved literature, a block was carried out according to the treatment plan. The scope of application, the main points of operation, the advantages and disadvantages of treatment were recorded. Results and conclusion: the surgical treatment of isthmic fissure can be divided into three groups: intrasegmental non-fixation and Buck isthmus screw fixation, Scott's interspinous process wire binding, pedicle nail and laminar hook fixation, and memory alloy internal fixation. Intersegmental fusion and minimally invasive therapy. Buck's method and pedicle screw-laminar hook fixation are widely used at present. The minimally invasive treatment of isthmus is more and more recognized by patients.
【作者单位】：山西医科大学;陆军总医院;
【分类号】：R687.3

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