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脊柱融合术后相邻节段退变的病因及其影响因素

Hits: 4704 Download times: 4485 Received:December 13, 2005

作者	Author	单位	Unit	E-Mail
佟德民	TONG De-ming	福建中医学院,福建福州350003	Fujian Traditional Chinese Medicinal College,Fuzhou 350003,Fujian,China	dmtong1997@56.com
练克俭	LIAN Ke-jian	漳州解放军175医院骨科
林斌	LIN-Bin	漳州解放军175医院骨科

期刊信息：《中国骨伤》2006年19卷，第5期，第318-320页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

近年来,随着脊柱融合手术的急剧增加和内固定器械的广泛应用,邻近节段退变性疾病逐渐引起人们的关注,依据临床症状判定其发生率约为5.2%～18.5%,其最常见的病理变化是椎间盘退变。导致相邻节段退变的原因包括邻近节段关节突负荷增加、活动度增大和邻近间盘内压增高,而邻近节段退变的影响因素:脊柱内固定、融合节段、矢状面上的曲度、邻近节段椎间盘退变及患者自身的特点。关于邻近节段退变的治疗,若融合术后患者的症状与邻近节段退变的病理相符时,外科干预强调充分减压和扩大融合节段,但是结果并不确切。

[关键词]:脊柱融合术相邻节段退变

Etiology and its effective factors of adjacent segment degeneration after spinal fusion

Abstract:Adjacent segment degeneration (ASD)was popular with spinal fusion operation increasing and broad application of instrumentation,the incident rate of symptomatic ASD was from 5.2% to 18.5%.So etiology and its effective factors of adjacent segment degeneration after spinal fusion were reviewed.Its common pathological change was disc degeneration.Increased intradiscal pressure,increased facet loading and increased mobility were important reasons that leaded to adjacent segment degeneration after spinal fusion.Its effective factors included instrumentation application,fusion segment,sagittal malalignment,adjacent disc degeneration and patient characteristics.Adequate decompression and extension of the fusion could be performed if the symptoms were adjustable with the pathology of adjacent segment degeneration,but outcomes were not exact.

KEYWORDS:Spinal fusion Adjacent segment degeneration

引用本文，请按以下格式著录参考文献：

中文格式:	佟德民,练克俭,林斌.脊柱融合术后相邻节段退变的病因及其影响因素[J].中国骨伤,2006,19(5):318~320
英文格式:	TONG De-ming,LIAN Ke-jian,LIN-Bin.Etiology and its effective factors of adjacent segment degeneration after spinal fusion[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(5):318~320

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