腰椎棘突间非融合技术的研究进展.pdfVIP

368 Chinese Journal of Reparative and Reconstructive Surgery, March 2010, Vol. 24, No.3 · · 腰椎棘突间非融合技术的研究进展 陈宏亮 丁文元 【摘  要】    目的 对腰椎棘突间非融合技术的发展现状、结构特点与临床应用进展进行综述。  方法 查阅近年 相关文献，系统回顾腰椎棘突间非融合技术的发展历程和重要研究成果。  结果 腰椎棘突间非融合技术是脊柱外科后 路非融合植入物的一类，根据设计可分为动态和静态系统两大类，动态系统包括Coflex器械和椎间辅助运动装置，静态系 统包括X-STOP 器械、ExtenSure器械和Wallis 器械。腰椎棘突间非融合技术是脊柱外科的新技术，可以保留椎间盘和关 节突关节功能的完整性，维持或恢复节段间正常运动，且对邻近节段无不利影响。腰椎棘突间内固定系统可治疗退行性 腰椎管狭窄、椎间盘源性下腰痛、关节突综合征、腰椎间盘突出症和腰椎不稳等疾病。  结论 随着腰椎棘突间非融合技 术日趋成熟和各种类型内固定器械研究的日益增多，腰椎退变性疾病的治疗将进一步发展，但其远期疗效、确切手术适应 证等有待深入研究。 【关键词】    腰椎 棘突 内固定 非融合技术 动态稳定 中图分类号： R681.57 R687.32 文献标志码：A RESEARCH ADVANCEMENT OF LUMBAR INTER-SPINOUS PROCESS NON-FUSION TECHNIQUES/CHEN Hongliang, DING Wenyuan. Department of Spine, the Third Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051, P.R.China. Corresponding author: DING Wenyuan, E-mail: Dingwyster@ 【Abstract 】 Objective To elucidate the new development, structural features and application of the lumbar inter- spinous process non-fusion techniques. Methods With the review of the development course and important research works in the field of the lumbar inter-spinous process non-fusion techniques, the regularity summary, science induction, and prospect were carried out. Results The lumbar inter-spinous process non-fusion technique was a part of non-fusion insert of spinal division posterior surface. According to the design, it could be divided into two major categories: dynamic and static systems. The dynamic system included Coflex and device for intervertebral assisted motion; the static system included X-STOP, ExtenSure and Wallis. The lumbar inter-spinous process non-fusion technique was a new technique of spinal division, it could reser