PLIF、TLIF手术个体化精确弯棒的相关研究
发布时间:2018-07-27 09:16
【摘要】:腰椎退行性疾病是引起腰背痛、功能障碍和患者生活质量下降的一些主要原因。钉棒系统固定的后路腰椎椎体间融合术(posterior lumbar interbody fusion,PLIF)及经椎间孔腰椎椎体间融合术(transforaminal lumbar interbody fusion,TLIF)仍为治疗腰椎退行性疾病流行且有效的手术方式。腰椎曲度重建及矢状面平衡的维持也越来越多的为外科医生所重视。目前PLIF、TLIF手术中弯棒曲度为多少仍没有统一的共识。决定使用什么形状的棒往往取决于术者的喜好和经验。本文通过传统的检索方式检索相关文献,并对检索出的相关文献及文献中相关的引文进行回顾。作者知道这种传统的检索方法与荟萃分析相比存在很大的偏倚,无论如何作者都尽最大努力包含更多相关的文献,并开阔思维,作者也咨询了脊柱手术及放射学方面的专家。
[Abstract]:Lumbar degenerative diseases are some of the main causes of low back pain, dysfunction and a decline in patients' quality of life. Posterior lumbar interbody fusion (posterior lumbar interbody) and transforaminal lumbar interbody fusion (transforaminal lumbar interbody) are still popular and effective methods for the treatment of lumbar degenerative diseases. The reconstruction of lumbar curvature and the maintenance of sagittal balance are paid more and more attention by surgeons. At present, there is no uniform consensus on the curvature of rod in PLIF TLIF surgery. Deciding what shape to use often depends on the preferences and experience of the operator. In this paper, the related literature is searched by traditional retrieval method, and the related literatures and citations in the literature are reviewed. The authors know that this traditional retrieval method is biased against meta-analysis and try their best to include more relevant literature and broaden their thinking. The author also consults with experts in spinal surgery and radiology.
【学位授予单位】:河北医科大学
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R687.3
本文编号:2147330
[Abstract]:Lumbar degenerative diseases are some of the main causes of low back pain, dysfunction and a decline in patients' quality of life. Posterior lumbar interbody fusion (posterior lumbar interbody) and transforaminal lumbar interbody fusion (transforaminal lumbar interbody) are still popular and effective methods for the treatment of lumbar degenerative diseases. The reconstruction of lumbar curvature and the maintenance of sagittal balance are paid more and more attention by surgeons. At present, there is no uniform consensus on the curvature of rod in PLIF TLIF surgery. Deciding what shape to use often depends on the preferences and experience of the operator. In this paper, the related literature is searched by traditional retrieval method, and the related literatures and citations in the literature are reviewed. The authors know that this traditional retrieval method is biased against meta-analysis and try their best to include more relevant literature and broaden their thinking. The author also consults with experts in spinal surgery and radiology.
【学位授予单位】:河北医科大学
【学位级别】:硕士
【学位授予年份】:2017
【分类号】:R687.3
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