汪波;杨勇;吴华;

• 1:华中科技大学同济医学院附属同济医院骨科

摘要(Abstract)：

<正>腰椎滑脱是指因各种原因导致的腰椎上位椎体相对于下位椎体部分或全部滑移,最常表现为L5/S1节段前滑脱。随着脊柱外科手术技术及内置物的发展,腰椎滑脱的手术治疗方式日趋多样化,但至今仍没有一个统一标准的手术方式,而且不同学者对于不同的手术技术还存在一定的争议,现就腰椎滑脱手术治疗的选择综述如下。手术治疗的时机

关键词(KeyWords)： 腰椎滑脱;融合术;复位;内固定;微创;邻近节段退变

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 汪波;杨勇;吴华;

Email:

DOI:

参考文献(References)：

• [1]Boxall D,Bradford DS,Winter RB,et al.Management of severespondylolisthesis in children and adolescents[J].J Bonr Joint SurgAm,1979,4:479-95.
• [2]Bourassa-Moreau E,Labelle H,Mac-Thiong JM.Radiological andclinical outcome of non surgical management for pediatric highgrade spondylolisthesis[J].Stud Health Technol Inform,2010,158:177-81.
• [3]Kwon BK,Albert TJ.Adult low-grade acquired spondylolytic spon-dylolisthesis evaluation and management[J].Spine,2005,30:35-41.
• [4]Pradhan BB,Nassar JA,Delamarter RB,et al.Single-level lumbarspine fusion:a comparison of anterior and posterior approaches[J].J Spinal Disord Tech,2002,5:355-361.
• [5]Gill GG,Manning JG,White HL.Surgical treatment of spondylolis-thesis without spine fusion,excision of the loose lamina with de-compression of the nerve roots[J].J Bone Joint Surg Am,1955,37:493-520.
• [6]Gill GG,White HL.Surgical treatment of spondylolisthesis withoutspine fusion.A long term follow-up of operated cases[J].Acta Or-thop Scand Suppl,1965,85:5-99.
• [7]Gill GG.Long-term follow-up evaluation of a few patients withspondylolisthesis treated by excision of the loose lamina with de-compression of the nerve roots without spinal fusion[J].Clin Or-thop,1984,182:215-219.
• [8]Arts M,Pondaag W,Peul W,et al.Nerve root decompression with-out fusion in spondylolytic spondylolisthesis:long-term results ofGill's procedure[J].Eur Spine J,2006,10:1455-1463.
• [9]Arts MP,Verstegen MJ,Brand R,et al.Cost-effectiveness of de-compression according to Gill versus instrumented spondylodesis inthe treatment of sciatica due to low grade spondylolytic spondylo-listhesis:aprospective randomised controlled trial[J].BMC Muscu-loskelet Disord,2008,9:128.
• [10]Agabegi SS,Fischgrund JS.Contemporary management of isthmic spon-dylolisthesis:pediatric and adult[J].Spine J,2010,6:530-543.
• [11]Majid K,Fischgrund JS.Degenerative lumbar spondylolisthesis:trends inmanagement[J].J Am Acad Orthop Surg,2008,4:208-215.
• [12]Carragee EJ.Single-level posterolateral arthrodesis,with or withoutposterior decompression,for the treatment of isthmic spondylolis-thesis in adults.A prospective,randomized study[J].J Bone JointSurg Am,1997,8:1175-1180.
• [13]赵明东,尹望平,董健.腰椎滑脱治疗进展[J].中国矫形外科杂志,2007,5:367-369.
• [14]吕廷灼,王文志,冯世庆.腰椎融合术的治疗进展[J].中国矫形外科杂志,2011,9:747-749.
• [15]Jacobs WC,Vreeling A,De Kleuver M.Fusion for low-grade adultisthmic spondylolisthesis:a systematic review of the literature[J].Eur Spine J,2006,4:391-402.
• [16]Ohtori S,Koshi T,Yamashita M,et al.Single-level instrumentedposterolateral fusion versus non-instrumented anterior interbodyfusion for lumbar spondylolisthesis:aprospective study with a 2-year follow-up[J].J Orthop Sci,2011,4:352-358.
• [17]Müslüman AM,Yllmaz A,Cansever T,et al.Posterior lumbar in-terbody fusion versus posterolateral fusion with instrumentation inthe treatment of low-grade isthmic spondylolisthesis:midterm clini-cal outcomes[J].J Neurosurg Spine,2011,4:488-496.
• [18]Zhou ZJ,Zhao FD,Fang XQ,et al.Meta-analysis of instrumentedposterior interbody fusion versus instrumented posterolateral fu-sion in the lumbar spine[J].J Neurosurg Spine,2011,3:295-310.
• [19]Ekman P,Mller H,Tullberg T,et al.Posterior lumbar interbodyfusion versus posterolateral fusion in adult isthmic spondylolisthe-sis[J].Spine,2007,20:2178-2183.
• [20]Ha KY,Na KH,Shin JH,et al.Comparison of posterolateral fusionwith and without additional posterior lumbar interbody fusion fordegenerative lumbar spondylolisthesis[J].J Spinal Disord Tech,2008,4:229-234.
• [21]Kim KT,Lee SH,Lee YH,et al.Clinical outcomes of 3fusionmethods through the posterior approach in the lumbar spine[J].Spine,2006,12:1351-1357.
• [22]Min JH,Jang JS,Lee SH.Comparison of anterior-and posterior-ap-proach instrumented lumbar interbody fusion for spondylolisthesis[J].J Neurosurg Spine,2007,1:21-26.
• [23]Hsieh PC,Koski TR,O'Shaughnessy BA,et al.Anterior lumbar in-terbody fusion in comparison with transforaminal lumbar interbodyfusion:implications for the restoration of foraminal height,localdisc angle,lumbar lordosis,and sagittal balance[J].J NeurosurgSpine,2007,4:379-386.
• [24]Kim JS,Kang BU,Lee SH,et al.Mini-transforaminal lumbar inter-body fusion versus anterior lumbar interbody fusion augmented bypercutaneous pedicle screw fixation:a comparison of surgical out-comes in adult low-grade isthmic spondylolisthesis[J].J Spinal Dis-ord Tech,2009,2:114-121.
• [25]Kim JS,Lee KY,Lee SH,et al.Which lumbar interbody fusiontechnique is better in terms of level for the treatment of unstableisthmic spondylolisthesis[J].J Neurosurg Spine,2010,2:171-177.
• [26]Yan DL,Pei FX,Li J,et al.Comparative study of PILF and TLIFtreatment in adult degenerative spondylolisthesis[J].Eur Spine J,2008,10:1311-1316.
• [27]Mehta VA,McGirt MJ,Garcés-Ambrossi GL,et al.Trans-forami-nal versus posterior lumbar interbody fusion:comparison of surgi-cal morbidity[J].Neurol Res,2011,1:38-42.
• [28]Hakalo J,Wroński J.The role of reduction in operative treatment ofspondylolytic spondylolisthesis[J].Neurol Neurochir Pol,2008,4:345-352.
• [29]Soegaard R,Bünger CE,Christiansen T,et al.Circumferential fu-sion is dominant over posterolateral fusion in a long-term perspec-tive:cost-utility evaluation of a randomized controlled trial in se-vere,chronic low back pain[J].Spine,2007,22:2405-2414.
• [30]Videbaek TS,Christensen FB,Soegaard R,et al.Circumferential fu-sion improves outcome in comparison with instrumented postero-lateral fusion:long-term results of a randomized clinical trial[J].Spine,2006,25:2875-2880.
• [31]Remes V,Lamberg T,Tervahartiala P,et al.Long-term outcomeafter posterolateral,anterior,and circumferential fusion for high-grade isthmic spondylolisthesis in children and adolescents:mag-netic resonance imaging findings after average of 17-year follow-up[J].Spine,2006,21:2491-2499.
• [32]Swan J,Hurwitz E,Malek F,et al.Surgical treatment for unstablelow-grade isthmic spondylolisthesis in adults:aprospective con-trolled study of posterior instrumented fusion compared with com-bined anterior-posterior fusion[J].Spine J,2006,6:606-614.
• [33]Kim JS,Kim DH,Lee SH,et al.Comparison study of the instru-mented circumferential fusion with instrumented anterior lumbarinterbody fusion as a surgical procedure for adult low-grade isthmicspondylolisthesis[J].World Neurosurg,2010,5:565-571.
• [34]Lamartina C,Zavatsky JM,Petruzzi M,et al.Novel concepts in theevaluation and treatment of high-dysplastic spondylolisthesis[J].Eur Spine J,2009,1:133-142.
• [35]DeWald CJ,Vartabedian JE,Rodts MF,et al.Evaluation and managementof high-grade spondylolisthesis in adults[J].Spine,2005,6:49-59.
• [36]Boachie-Adjei O,Do T,Rawlins BA.Partial lumbosacral kyphosisreduction,decompression,and posterior lumbosacral transfixationin high-grade isthmic spondylolisthesis:clinical and radiographic re-sults in six patients[J].Spine,2002,6:161-168.
• [37]Ilharreborde B,Fitoussi F,Morel E,et al.Jackson's intrasacral fixa-tion in the management of high-grade isthmic spondylolisthesis[J].J Pediatr Orthop B,2007,1:16-18.
• [38]Lonner BS,Song EW,Scharf CL,et al.Reduction of high-gradeisthmic and dysplastic spondylolisthesis in 5adolescents[J].Am JOrthop,2007,7:367-373.
• [39]Chung JY,Parthasarathy S,Avadhani A,et al.Reduction of highgrade listhesis[J].Eur Spine J,2010,2:353-354.
• [40]Shufflebarger HL,Geck MJ.High-grade isthmic dysplastic spondylolisthe-sis:monosegmental surgical treatment[J].Spine,2005,6:42-28.
• [41]Ruf M,Koch H,Melcher RP,et al.Anatomic reduction and mono-segmental fusion in high-grade developmental spondylolisthesis[J].Spine,2006,3:269-274.
• [42]Transfeldt EE,Mehbod AA.Evidence-based medicine analysis ofisthmic spondylolisthesis treatment including reduction versus fu-sion in situ for high-grade slips[J].Spine,2007,19:126-129.
• [43]Poussa M,Remes V,Lamberg T,et al.Treatment of severe spon-dylolisthesis in adolescence with reduction or fusion in situ:long-term clinical,radiologic,and functional outcome[J].Spine,2006,5:583-590.
• [44]Poussa M,Schlenzka D,Seitsalo S,et al.Surgical treatment of se-vere isthmic spondylolisthesis in adolescents.Reduction or fusion insitu[J].Spine,1993,7:894-901.
• [45]McAfee PC,DeVine JG,Chaput CD,et al.The indications for inter-body fusion cages in the treatment of spondylolisthesis:analysis of120cases[J].Spine,2005,6:60-65.
• [46]Bohlman HH,Cook SS.One-stage decompression and posterolateral andinterbody fusion for lumbosacral spondyloptosis through a posterior ap-proach.Report of two cases[J].J Bone Joint Surg Am,1982,3:415-418.
• [47]Sasso RC,Shively KD,Reilly TM.Transvertebral transsacral strutgrafting for high-grade isthmic spondylolisthesis L5-S1with fibu-lar allograft[J].J Spinal Disord Tech,2008,5:328-333.
• [48]Lakshmanan P,Ahuja S,Lewis M,et al.Transsacral screw fixationfor high-grade spondylolisthesis[J].Spine J,2009,12:1024-1029.
• [49]Payer M.“Minimally invasive”lumbar spine surgery:a critical re-view[J].Acta Neurochir(Wien),2011,7:1455-1459.
• [50]Park Y,Ha JW.Comparison of one-level posterior lumbar interbodyfusion performed with a minimally invasive approach or a tradition-al open approach[J].Spine,2007,5:537-543.
• [51]Ntoukas V,Müller A.Minimally invasive approach versus tradition-al open approach for one level posterior lumbar interbody fusion[J].Minim Invasive Neurosurg,2010,1:21-24.
• [52]Lee KH,Yue WM,Yeo W,et al.Clinical and radiological outcomesof open versus minimally invasive transforaminal lumbar interbodyfusion[J].Eur Spine J,2012,11:2265-2270.
• [53]Wang J,Zhou Y,Zhang ZF,et al.Comparison of one-level minimal-ly invasive and open transforaminal lumbar interbody fusion in de-generative and isthmic spondylolisthesis grades 1and 2[J].EurSpine J,2010,10:1780-1784.
• [54]Peng CW,Yue WM,Poh SY,et al.Clinical and radiological out-comes of minimally invasive versus open transforaminal lumbar in-terbody fusion[J].Spine,2009,13:1385-1389.
• [55]Rouben D,Casnellie M,Ferguson M.Long-term durability of mini-mal invasive posterior transforaminal lumbar interbody fusion:aclinical and radiographic follow-up[J].J Spinal Disord Tech,2011,5:288-296.
• [56]Shunwu F,Xing Z,Fengdong Z,et al.Minimally invasive transfo-raminal lumbar interbody fusion for the treatment of degenerativelumbar diseases[J].Spine,2010,17:1615-1620.
• [57]Wang J,Zhou Y,Feng Zhang Z,et al.Comparison of clinical out-come in overweight or obese patients after minimally invasive ver-sus open transforaminal lumbar interbody fusion[J].J Spinal Dis-ord Tech,2012,1:17.
• [58]Parker SL,Adogwa O,Witham TF,et al.Post-operative infectionafter minimally invasive versus open transforaminal lumbar inter-body fusion(TLIF):literature review and cost analysis[J].MinimInvasive Neurosurg,2011,1:33-37.
• [59]Lund T,Oxland TR.Adjacent level disk disease-is it really a fusiondisease[J].Orthop Clin North Am,2011,4:529-541.
• [60]Charles Malveaux WMS,Sharan AD.Adjacent segment disease af-ter lumbar spinal fusion:a systematic review of the current litera-ture[J].Semin Spine Surg,2011,23:266-274.
• [61]Hikata T,Kamata M,Furukawa M.Risk factors for adjacent seg-ment disease after posterior lumbar interbody fusion and efficacy ofsimultaneous decompression surgery for symptomatic adjacent seg-ment disease[J].J Spinal Disord Tech,2012,1:1-6.
• [62]张忠民,刘则征,金大地.动力内固定系统预防腰椎融合内固定术后邻近节段退变[J].脊柱外科杂志,2010,6:321-325.
• [63]David T.Long-term results of one-level lumbar arthroplasty:mini-mum 10-year follow-up of the CHARITE artificial disc in 106pa-tients[J].Spine,2007,6:661-666.
• [64]Harrop JS,Youssef JA,Maltenfort M,et al.Lumbar adjacent seg-ment degeneration and disease after arthrodesis and total disc ar-throplasty[J].Spine,2008,15:1701-1707.
• [65]Kim KH,Lee SH,Shim CS,et al.Adjacent segment disease afterinterbody fusion and pedicle screw fixations for isolated L4-L5spondylolisthesis:a minimum five-year follow-up[J].Spine,2010,6:625-634.
• [66]Korovessis P,Repantis T,Zacharatos S,et al.Does Wallis implantreduce adjacent segment degeneration above lumbosacral instru-mented fusion[J].Eur Spine J,2009,6:830-840.
• [67]Morishita Y,Ohta H,Naito M,et al.Kinematic evaluation of theadjacent segments after lumbar instrumented surgery:a comparisonbetween rigid fusion and dynamic non-fusion stabilization[J].EurSpine J,2011,9:1480-1485.
• [68]Hudson WRS,Gee JE.Hybrid dynamic stabilization with posteriorspinal fusion in the lunbar spine[J].SAS Journal,2011,2:36-43.