| 棘突间撑开装置预防腰椎融合术后邻近节段退变的研究进展 |
| Research progress on the prevention of adjacent segment degeneration after lumbar fusion using interspinous distraction devices |
| 投稿时间：2024-11-21 |
| DOI：10.3969/j.issn.1672-5972.2025.06.012 |
| 中文关键词: 骨科植入物 棘突间撑开装置 腰椎退行性疾病 腰椎融合术 生物力学 |
| 英文关键词:Orthopedic implants Interspinous distraction devices Lumbar degenerative diseases Lumbar fusion surgery Biomechanics |
| 基金项目:江苏省科技厅重点研发项目（BE2021659） |
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| 中文摘要: |
| 腰椎减压融合术现已成为治疗腰椎退行性疾病的“金标准”，临床疗效肯定，但其易引起的邻近节段退变仍是目前尚未解决的问题。棘突间撑开装置单独应用时存在远期疗效不确切和再手术率高等缺点，过去在临床使用备受争议。然而，目前已有研究表明在腰椎融合术的相邻节段联合应用棘突间撑开装置能够有效预防术后邻近节段退变的发生，在临床上取得了良好的效果，展现出了新的应用前景。因此，本文对棘突间撑开装置预防腰椎融合术后邻近节段退变的生物力学机制、临床应用、优势和局限性等进行综述。 |
| 英文摘要: |
| Although lumbar decompression and fusion surgery has become the "gold standard" for treating lumbar degenerative disease due to its proven clinical efficacy, the tendency of this procedure to cause adjacent segment degeneration remains an unresolved issue. Interspinous distraction devices have the disadvantages of uncertain long-term efficacy and high reoperation rate when used alone, and has been controversial in clinical practice in the past. However, recent studies have demonstrated that using interspinous distraction devices alongside lumbar fusion surgery can effectively prevent postoperative degeneration of adjacent segments, achieving positive clinical outcomes and offering new applications. This article therefore reviews the biomechanical mechanisms, clinical applications, advantages, and limitations of using interspinous distraction devices to prevent adjacent segment degeneration after lumbar fusion surgery. |
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