| 摘要: |
| 随着内固定技术的广泛开展，腰椎后路内固定融合手术的数量和质量逐年上升。然而，由于手术方案选择不当、手术操作失误、内固定手术相关并发症、手术后邻近节段退变等因素，患者术后可能因再次出现症状而接受翻修手术治疗。腰椎后路内固定翻修手术的主要目的是解除神经压迫和重建腰椎稳定性。深入探讨腰椎后路内固定手术翻修的原因，以及在此基础上制订相应的手术治疗策略、正确处理手术相关并发症，将有助于提高翻修手术的疗效。 |
| 关键词: 腰椎后路内固定术 翻修手术 手术策略 并发症 神经压迫 腰椎稳定性 处理 |
| DOI：10.16781/j.CN31-2187/R.20220088 |
| 投稿时间：2022-01-23 |
| 基金项目: |
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| Revision surgery after posterior lumbar internal fixation: cause, strategy, and surgical management of the complications |
| HOU Yang* |
(Department of Orthopaedics, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China
*Corresponding author) |
| Abstract: |
| With the wide application of internal fixation technology, the quantity and quality of posterior lumbar fusion surgery are growing year by year. However, revision surgery may be needed for recurrence of symptoms due to selection of improper surgical protocols, surgical errors, complications related to internal fixation, degeneration of adjacent segments, and other factors. The main purpose of revision surgery for posterior lumbar internal fixation is to relieve nerve compression and reconstruct the stability of lumbar spine. Exploring the causes for revision of lumbar internal fixation, and then formulating corresponding surgical treatment strategies and correctly dealing with surgical related complications will help to improve the surgical efficacy. |
| Key words: posterior lumbar internal fixation revision surgery operation strategy complications nerve compression lumbar spine stability treatment |
