侧方入路腰椎内固定的生物力学研究进展
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南方医院院长基金 (2017C041)


Progress in Biomechanics of Lumbar Fixation with Lateral Approaches
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    摘要:

    极外侧椎体融合术(extreme lateral interbody fusion, XLIF)可用于治疗腰椎间盘突出、椎体滑脱、椎管狭窄等腰椎疾病。此术式从侧方腹膜后建立手术通道,与其他手术方式相比,术中出血少,创伤小,康复时间短,并发症少,既可避免前方大血管损伤的风险,也可减少后方肌肉、关节突等组织的破坏,因而受到越来越多的关注和应用。但此术式在临床治疗效果、并发症发生率等方面是否优于其他入路尚无定论。从生物力学角度总结XLIF重建腰椎稳定的效果,并比较XLIF与相关经典术式在生物力学上的特点。

    Abstract:

    Extreme lateral interbody fusion (XLIF) can be used to treat various lumbar diseases, such as lumbar facet joints intervertebral disc herniation, spondylolisthesis, stenosis. Compared with other approaches, XLIF establishes the surgical channel behind the peritoneum through lateral abdomen, with the advantages of less blooding in the surgery, smaller invasion, lower complications rate and shorter rehabilitation period. Meanwhile,this technique can not only reduce the risk of vascular injury, but also avoid the damage of back structures,such as muscles and facet joints. Therefore, XLIF has been attracting more and more attention and application. However, there is no conclusive evidence to prove that XLIF is better than other surgical approaches in terms of clinical results and complications rates. This paper reviewed the effects of XLIF for reconstructing spinal stability, as well as its biomechanical properties compared with other classical surgeries.

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杨舟,朱青安.侧方入路腰椎内固定的生物力学研究进展[J].医用生物力学,2019,34(6):656-661

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  • 收稿日期:2018-10-22
  • 最后修改日期:2018-11-30
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  • 在线发布日期: 2019-12-25
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