退行性腰椎滑脱症:NASS循证医学指南解读
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摘要
退行性腰椎滑脱症(DLS)是临床上常见的腰椎退行性疾病,为提供最佳、有效的诊断及治疗方案,2014年北美脊柱外科协会更新了DLS循证临床实践指南。在充分解读最新版指南诊治内容的基础上,结合中国的临床实际,提出临床与研究建议。
Degenerative lumbar spondylolisthesis(DLS)is a clinically common degenerative disease of the lumbar spine. In order to provide the best and effective diagnosis and treatment programs,the North American Spinal Surgery Association updated the DLS guidelines for evidence-based clinical practice in 2014. Based on the diagnosis and treatment for the DLS in the latest guideline,and proposes clinical and research suggestions.
Degenerative lumbar spondylolisthesis(DLS)is a clinically common degenerative disease of the lumbar spine. In order to provide the best and effective diagnosis and treatment programs,the North American Spinal Surgery Association updated the DLS guidelines for evidence-based clinical practice in 2014. Based on the diagnosis and treatment for the DLS in the latest guideline,and proposes clinical and research suggestions.
引文
[1]Lorenz R.Lumbar spondylolisthesis.Clinical syndrome and operative experience with Cloward's technique[J].Acta Neurochirurgica,1982,60(3-4):223-244.
[2]Derman PB,Albert TJ.Interbody fusion techniques in the surgical management of degenerative lumbar spondylolisthesis[J].Curr Rev Musculoskelet Med,2017,10(4):530-538.
[3]Epstein NE,Hollingsworth RD.Nursing review of diagnosis and treatment of lumbar degenerative spondylolisthesis[J].Surg Neurol Int,2017,8:246.
[4]Zdero R,Shah S,Mosli M,et al.The effect of the screw pull-out rate on cortical screw purchase in unreamed and reamed synthetic long bones[J].Proc Inst Mech Eng H,2010,224(3):503-513.
[5]于杰,朱立国,高景华,等.退行性腰椎滑脱症治疗与康复方案的临床研究[J].中国中医骨伤科杂志,2016,24(11):11-14.
[6]许伏龙,朱青安,王吉星,等.关节突关节倾斜度与退行性腰椎滑脱的相关性研究[J].实用骨科杂志,2017,23(8):707-710,732.
[7]李家速,陈守剑,肖红兴,等.退行性腰椎滑脱治疗的循证医学进展[J].颈腰痛杂志,2014,35(3):224-226.
[8]Watters WC 3rd,Bono CM,Gilbert TJ,et al.An evidencebased clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis[J].Spine J,2009,9(7):609-614.
[9]North American Spine Society.Diagnosis and treatment of degenerative lumbar spondylolisthesis(2nd Edition)[EB/OL].Available at:https://www.spine.org/.2018-3-15.
[10]王海军,于杰,高景华,等.经筋刀治疗退行性腰椎滑脱症的临床研究[J].中国中医骨伤科杂志,2017,25(10):19-22,27.
[11]梅凌.益气还阳汤联合前腿冲击法治疗退行性腰椎滑脱症临床疗效观察[J].四川中医,2017,35(7):180-182.
[12]王书君,王绍美,李连泰,等.加味补阳还五汤联合手法治疗退行性腰椎滑脱症临床观察[J].上海中医药大学学报,2016,30(4):43-46.
[13]颜峰.椎间融合术配合中药外敷治疗退行性腰椎滑脱症[J].中医正骨,2016,28(1):38-40.
[14]易文强,肖宏.基于Quadrant-sextant通道工作系统的微创手术与传统开放手术治疗腰椎滑脱症的Meta分析[J].中国矫形外科杂志,2016,24(9):811-816.
[15]杨子情,豆贲,谢义松,等.微创经椎间孔腰椎间融合术联合中药封包疗法治疗腰椎滑脱症的临床研究[J].中医正骨,2016,28(7):28-37.
[16]Xue X,Wei X,Li L.Surgical Versus Nonsurgical Treatment for High-Grade Spondylolisthesis in Children and Adolescents:A Systematic Review and Meta-Analysis[J].Medicine,2016,95(11):e3070.
[17]Gibson JN,Grant IC,Waddell G.The Cochrane Review of Surgery for Lumbar Disc Prolapse and Degenerative Lumbar Spondylosis[J].Spine,1999,24(17):1820-1832.
[18]何启荣.减压融合内固定术治疗伴Ⅰ度退行性滑脱的腰椎管狭窄症患者的远期疗效分析[J].现代诊断与治疗,2015,26(24):5652-5654.
[19]赵香元.单纯后路减压与减压植骨融合内固定在退行性腰椎管狭窄症治疗中的应用效果对比[J].当代医学,2016,22(22):23-24.
[20]Bednar DA.Surgical management of lumbar degenerative spinal stenosis with spondylolisthesis via posterior reduction with minimal laminectomy[J].J Spinal Disord Tech,2002,15(2):105-109.
[21]Lee TC.Reduction and stabilization without laminectomy for unstable degenerative spondylolisthesis:a preliminary report[J].Neurosurgery,1994,35(6):1072-1076.
[22]Sears W.Posterior lumbar interbody fusion for degenerative spondylolisthesis:restoration of sagittal balance using insertand-rotate interbody spacers[J].Spine J,2005,5(2):170-179.
[2]Derman PB,Albert TJ.Interbody fusion techniques in the surgical management of degenerative lumbar spondylolisthesis[J].Curr Rev Musculoskelet Med,2017,10(4):530-538.
[3]Epstein NE,Hollingsworth RD.Nursing review of diagnosis and treatment of lumbar degenerative spondylolisthesis[J].Surg Neurol Int,2017,8:246.
[4]Zdero R,Shah S,Mosli M,et al.The effect of the screw pull-out rate on cortical screw purchase in unreamed and reamed synthetic long bones[J].Proc Inst Mech Eng H,2010,224(3):503-513.
[5]于杰,朱立国,高景华,等.退行性腰椎滑脱症治疗与康复方案的临床研究[J].中国中医骨伤科杂志,2016,24(11):11-14.
[6]许伏龙,朱青安,王吉星,等.关节突关节倾斜度与退行性腰椎滑脱的相关性研究[J].实用骨科杂志,2017,23(8):707-710,732.
[7]李家速,陈守剑,肖红兴,等.退行性腰椎滑脱治疗的循证医学进展[J].颈腰痛杂志,2014,35(3):224-226.
[8]Watters WC 3rd,Bono CM,Gilbert TJ,et al.An evidencebased clinical guideline for the diagnosis and treatment of degenerative lumbar spondylolisthesis[J].Spine J,2009,9(7):609-614.
[9]North American Spine Society.Diagnosis and treatment of degenerative lumbar spondylolisthesis(2nd Edition)[EB/OL].Available at:https://www.spine.org/.2018-3-15.
[10]王海军,于杰,高景华,等.经筋刀治疗退行性腰椎滑脱症的临床研究[J].中国中医骨伤科杂志,2017,25(10):19-22,27.
[11]梅凌.益气还阳汤联合前腿冲击法治疗退行性腰椎滑脱症临床疗效观察[J].四川中医,2017,35(7):180-182.
[12]王书君,王绍美,李连泰,等.加味补阳还五汤联合手法治疗退行性腰椎滑脱症临床观察[J].上海中医药大学学报,2016,30(4):43-46.
[13]颜峰.椎间融合术配合中药外敷治疗退行性腰椎滑脱症[J].中医正骨,2016,28(1):38-40.
[14]易文强,肖宏.基于Quadrant-sextant通道工作系统的微创手术与传统开放手术治疗腰椎滑脱症的Meta分析[J].中国矫形外科杂志,2016,24(9):811-816.
[15]杨子情,豆贲,谢义松,等.微创经椎间孔腰椎间融合术联合中药封包疗法治疗腰椎滑脱症的临床研究[J].中医正骨,2016,28(7):28-37.
[16]Xue X,Wei X,Li L.Surgical Versus Nonsurgical Treatment for High-Grade Spondylolisthesis in Children and Adolescents:A Systematic Review and Meta-Analysis[J].Medicine,2016,95(11):e3070.
[17]Gibson JN,Grant IC,Waddell G.The Cochrane Review of Surgery for Lumbar Disc Prolapse and Degenerative Lumbar Spondylosis[J].Spine,1999,24(17):1820-1832.
[18]何启荣.减压融合内固定术治疗伴Ⅰ度退行性滑脱的腰椎管狭窄症患者的远期疗效分析[J].现代诊断与治疗,2015,26(24):5652-5654.
[19]赵香元.单纯后路减压与减压植骨融合内固定在退行性腰椎管狭窄症治疗中的应用效果对比[J].当代医学,2016,22(22):23-24.
[20]Bednar DA.Surgical management of lumbar degenerative spinal stenosis with spondylolisthesis via posterior reduction with minimal laminectomy[J].J Spinal Disord Tech,2002,15(2):105-109.
[21]Lee TC.Reduction and stabilization without laminectomy for unstable degenerative spondylolisthesis:a preliminary report[J].Neurosurgery,1994,35(6):1072-1076.
[22]Sears W.Posterior lumbar interbody fusion for degenerative spondylolisthesis:restoration of sagittal balance using insertand-rotate interbody spacers[J].Spine J,2005,5(2):170-179.