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经椎弓根动态棒固定技术治疗腰椎退行性疾病专家共识

Expert consensus on the treatment of lumbar degenerative disease by transpedicle dynamic rod fixation

摘要:

经椎弓根动态棒固定技术的共同特点是用具有微动关节或弹性形变的动态棒对腰椎进行固定,在稳定腰椎的同时可保留椎间活动度,降低邻近节段负荷。经过二十余年的发展,经椎弓根动态棒固定技术已在国内外得到了很好的应用,并取得了良好的临床疗效。但技术普及度有限,在适应证选择、手术操作等方面仍存在一些争议。中国康复医学会脊柱脊髓专业委员会腰椎研究学组采用改良Delphi法,在广泛检索文献的基础上结合国内专家的意见和建议,形成专家问卷调查表,在全国范围内组织相关领域专家经两轮问卷沟通和一轮圆桌会议,共同讨论并制定了经椎弓根动态棒固定技术治疗腰椎退行性疾病专家共识。共识从手术适应证、禁忌证、术前准备、手术操作、术后随访、并发症及处理等方面对经椎弓根动态棒固定技术进行了深入阐述,旨在规范和推进其临床应用,从而提高手术疗效和降低并发症发生率。

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abstracts:

The common characteristic of transpedicle dynamic rod fixation technique is to fix the lumbar spine with dynamic rods with small motion joints or elastic deformation, which can retain the intervertebral mobility and reduce the load of adjacent segments while stabilizing the lumbar spine. With more than 20 years of development, transpedicle dynamic rod fixation technology has been applied well in the world and achieved satisfied clinical outcomes. However, the popularity of the present technology was not prevalent. There are still some disputes on some aspects, including surgical indications, procedures, etc. Therefore, thirty-nine related experts all over the country were organized by the Lumbar Research Group of Spinal Cord Committee of Chinese Association of Rehabilitation Medicine to discuss and formulate the consensus items, including the indications, contraindications, preoperative preparation, surgical operation, postoperative follow-up, complications and management. The consensus was developed by modified Delphi method that two rounds of communication and one round of face-to-face meeting. The present consensus could standardize and promote the application of transpedicle dynamic rod fixation, and ultimately improve the surgical effects with few complications.

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作者: 中国康复医学会脊柱脊髓专业委员会腰椎研究学组
期刊: 《中华骨科杂志》2020年40卷24期 1639-1645页 ISTICPKUCSCDCA
栏目名称: 共识
DOI: 10.3760/cma.j.cn121113-20201116-00659
发布时间: 2021-01-11
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