退行性腰椎滑脱的微创治疗进展

Progress in Minimally Invasive Treatment of Degenerative Lumbar Spondylolisthesis

摘要: 退行性腰椎滑脱是脊柱外科常见病，主要症状表现为长期慢性腰腿痛及麻木。对于症状严重影响患者生活质量的腰椎滑脱应及时选择手术干预。既往以传统开放手术为主，创伤大，出血量大，卧床时间长，恢复时间长等缺点，随着近几年脊柱微创理念提出，脊柱外科医师越来越多选择脊柱微创手术，其具有：切口小，出血量少，术后下地时间早等优势。本文选取了近几年应用脊柱微创治疗退行性腰椎滑脱的文献，综合分析比较各类脊柱微创手术各自优缺点，旨在为脊柱外科医生临床提供参考。

Abstract: Degenerative lumbar spondylolisthesis is a common disease in spinal surgery, characterized by long-term chronic lower back and leg pain and numbness. For lumbar spondylolisthesis with severe symptoms that affect the patient’s quality of life, timely surgical intervention should be chosen. In the past, traditional open surgery was mainly used, which had disadvantages such as large trauma, large bleeding, long bed rest time, and long recovery time. With the introduction of the concept of spinal minimally invasive surgery in recent years, more and more spinal surgeons have chosen spinal minimally invasive surgery, which has advantages such as small incision, low bleeding, and early postoperative landing time. This article selects literature on the application of minimally invasive spinal surgery in the treatment of degenerative lumbar spondylolisthesis in recent years, comprehensively analyzes and compares the advantages and disadvantages of various minimally invasive spinal surgeries, aiming to provide clinical reference for spinal surgeons.