腰椎退行性疾病是目前临床常见的脊柱外科疾病,可伴有多种不适症状。相较于曾经的植骨融合术、钉板固定等手术方式,腰椎椎间融合术已成为目前国际上公认的优势术式,此术式不仅能更有效、稳定地恢复脊柱结构,更能有效松解受压神经根。腰...腰椎退行性疾病是目前临床常见的脊柱外科疾病,可伴有多种不适症状。相较于曾经的植骨融合术、钉板固定等手术方式,腰椎椎间融合术已成为目前国际上公认的优势术式,此术式不仅能更有效、稳定地恢复脊柱结构,更能有效松解受压神经根。腰椎椎间融合术根据手术入路不同分为后入路腰椎椎间融合术(posterior lumbar interbody fusion, PLIF)、后外侧入路腰椎椎间融合术(posterolateral lumbar fusion, PLF)、开放经椎间孔入路椎间融合术(transforaminal lumbar interbody fusion, TLIF)、微创经椎间孔腰椎椎间融合术(minimally invasive transforaminal lumbar interbody fusion, MIS-TLIF)、直接外侧椎间融合术(direct lateral interbody fusion, DLIF)、小切口极外侧椎间融合术(extreme lateral interbody fusion, XLIF)、前路腰椎椎间融合术(anterior lumbar interbody fusion, ALIF)、侧方入路腰椎椎间融合术(lateral lumbar interbody fusion, LLIF)和斜外侧腰椎椎间融合术(oblique lumbar interbody fusion, OLIF)等。针对不同患者具体选择哪种手术入路,临床医生之间有不同的见解,其中大多数医生主要根据患者影像学特征及自身操作熟练程度选择手术入路。本研究对腰椎椎间融合术各种手术入路的优缺点及临床应用研究进展进行总结性综述,以期总结退行性腰椎疾病的临床治疗计划实施情况,并为斜外侧腰椎椎间融合术的最新发展提供总结、对具创新性的改动做出全新展望。Lumbar degenerative diseases are currently common conditions encountered in spinal surgery and can be accompanied by various discomfort symptoms. Compared to traditional surgical methods such as bone graft fusion and screw-plate fixation, lumbar interbody fusion has become the internationally recognized superior surgical technique. This procedure not only more effectively and stably restores spinal structure but also efficiently relieves compressed nerve roots. Depending on the surgical approach, lumbar interbody fusion can be categorized into several types: Posterior Lumbar Interbody Fusion (PLIF), Posterolateral Lumbar Fusion (PLF), Transforaminal Lumbar Interbody Fusion (TLIF), Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF), Direct Lateral Interbody Fusion (DLIF), Extreme Lateral Interbody Fusion (XLIF), Anterior Lumbar Interbody Fusion (ALIF), Lateral Lumbar Interbody Fusion (LLIF), and Oblique Lumbar Interbody Fusion (OLIF). Clinicians hold varying opinions on the appropriate surgical approach for different patients, with most choosing the approach based on the patient’s imaging characteristics and the surgeon’s level of expertise. This study provides a comprehensive review of the advantages, disadvantages, and clinical applications of various surgical approaches to lumbar interbody fusion. The aim is to summarize the implementation of clinical treatment plans for degenerative lumbar spine diseases and to offer an overview of the latest developments in oblique lateral lumbar interbody fusion, with a fresh perspective on innovative modifications.展开更多
文摘腰椎退行性疾病是目前临床常见的脊柱外科疾病,可伴有多种不适症状。相较于曾经的植骨融合术、钉板固定等手术方式,腰椎椎间融合术已成为目前国际上公认的优势术式,此术式不仅能更有效、稳定地恢复脊柱结构,更能有效松解受压神经根。腰椎椎间融合术根据手术入路不同分为后入路腰椎椎间融合术(posterior lumbar interbody fusion, PLIF)、后外侧入路腰椎椎间融合术(posterolateral lumbar fusion, PLF)、开放经椎间孔入路椎间融合术(transforaminal lumbar interbody fusion, TLIF)、微创经椎间孔腰椎椎间融合术(minimally invasive transforaminal lumbar interbody fusion, MIS-TLIF)、直接外侧椎间融合术(direct lateral interbody fusion, DLIF)、小切口极外侧椎间融合术(extreme lateral interbody fusion, XLIF)、前路腰椎椎间融合术(anterior lumbar interbody fusion, ALIF)、侧方入路腰椎椎间融合术(lateral lumbar interbody fusion, LLIF)和斜外侧腰椎椎间融合术(oblique lumbar interbody fusion, OLIF)等。针对不同患者具体选择哪种手术入路,临床医生之间有不同的见解,其中大多数医生主要根据患者影像学特征及自身操作熟练程度选择手术入路。本研究对腰椎椎间融合术各种手术入路的优缺点及临床应用研究进展进行总结性综述,以期总结退行性腰椎疾病的临床治疗计划实施情况,并为斜外侧腰椎椎间融合术的最新发展提供总结、对具创新性的改动做出全新展望。Lumbar degenerative diseases are currently common conditions encountered in spinal surgery and can be accompanied by various discomfort symptoms. Compared to traditional surgical methods such as bone graft fusion and screw-plate fixation, lumbar interbody fusion has become the internationally recognized superior surgical technique. This procedure not only more effectively and stably restores spinal structure but also efficiently relieves compressed nerve roots. Depending on the surgical approach, lumbar interbody fusion can be categorized into several types: Posterior Lumbar Interbody Fusion (PLIF), Posterolateral Lumbar Fusion (PLF), Transforaminal Lumbar Interbody Fusion (TLIF), Minimally Invasive Transforaminal Lumbar Interbody Fusion (MIS-TLIF), Direct Lateral Interbody Fusion (DLIF), Extreme Lateral Interbody Fusion (XLIF), Anterior Lumbar Interbody Fusion (ALIF), Lateral Lumbar Interbody Fusion (LLIF), and Oblique Lumbar Interbody Fusion (OLIF). Clinicians hold varying opinions on the appropriate surgical approach for different patients, with most choosing the approach based on the patient’s imaging characteristics and the surgeon’s level of expertise. This study provides a comprehensive review of the advantages, disadvantages, and clinical applications of various surgical approaches to lumbar interbody fusion. The aim is to summarize the implementation of clinical treatment plans for degenerative lumbar spine diseases and to offer an overview of the latest developments in oblique lateral lumbar interbody fusion, with a fresh perspective on innovative modifications.
