摘要
L_(5)神经根损伤的高发生率是重度滑脱手术治疗中的主要关注点和治疗难点之一。文献报道,重度滑脱术后的L_(5)神经根损伤的实质为牵拉伤,牵张力的大小与重度滑脱的病理改变、神经根的力学特性以及复位程度、椎间高度重建及后凸矫正有关,然而,多大牵张力会造成L_(5)神经根损伤仍不清楚。在重度滑脱的手术治疗中,术中神经电生理监测的优势仍不确定。因此,从降低L_(5)神经根损伤的角度,重度L_(5)椎滑脱的部分复位可能是更安全、更合理的选择。
The high incidence of L_(5)nerve root injury is one of the main concerns and challenges in the surgical treatment of highgrade spondylolisthesis(HS).It has been reported in the literature that the essence of L_(5)nerve root injury after corrective surgery for HS is traction injury,and the amount of traction tension is related to the pathological changes of HS,the mechanical properties of nerve root,the extent of reduction,the reconstruction of intervertebral height and the correction of kyphosis.However,it is not clear how much tension will lead to nerve root damage,the benefits of multimodal intra-operative monitoring in the surgical treatment for HS remains uncertain.From the perspective of reducing the L_(5)nerve root injury,the partial reduction of HS may be safer and more reasonable.
作者
杨进
孔清泉
吴浩
李韦龙
伍椰
王玉
YANG Jin;KONG Qingquan;WU Hao;LI Wei-long;WU Ye;WANG Yu(Department of Orthopedics Surgery,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Spine Surgery,Affiliated Hospital,Southwest Medical University,Luzhou 646000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2021年第17期1573-1578,共6页
Orthopedic Journal of China
基金
国家老年疾病临床医学研究中心(四川大学华西医院)资助项目(编号:Z2018B07)。
关键词
重度腰椎滑脱
矫正手术
L_(5)神经根损伤
张力
复位
high-grade spondylolisthesis
corrective surgery
L_(5) nerve root injury
tension
reduction
作者简介
杨进,主治医师,医学博士,研究方向:神经损伤的再生及修复、骨质疏松,颈、腰椎退变疾病的影像诊断及微创治疗,(电话)13541589905,(电子信箱)1974374073@qq.com;通信作者:孔清泉,(电子信箱)kqqspine@126.com。
