腰椎滑脱的手术治疗医.pptVIP

腰椎滑脱的手术治疗;病理解剖学改变;不是所有的腰椎滑脱都需要治疗;;伴腰痛的腰椎滑脱并非都需要手术;2????????????? 根据滑脱的严重程度选择适当的手术方式;滑脱椎体的融合是手术治疗的最终目的;退行性腰椎滑脱为最常见的腰椎滑脱,多因出现并发症而就诊,一般可以通过保守治疗而缓解其症状。;保守治疗包括:;;单纯椎管、神经根管减压术;减压融合术　;间接减压术　;严重腰椎脱位的复位治疗;手术应注意以下几点:;;;手术注意以下几点:;;;;;;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;TLIF SG Instruments;TLIF SG Instruments;TLIF SG Instruments;Osteotomes (8mm) Straight Angled ;Initial Distract ion;Nerve Root Retraction;Disc RemovalCup Curettes(10o Up Angle);Disc RemovalRing Curettes;Disc RemovalDown Biting Curettes;Disc RemovalChondrotomes ;Disc RemovalRongeurs;Endplate Preparation;Bone GraftBone Tamps;Trial and Implant Insertion;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;手术探查发现神经根嵌压有几种因素 腰4神经根可被腰4椎体后下缘骨赘压迫 腰5神经根可被腰5椎体后上、下缘及其 上关节突压迫 有时可能累及骶1神经根;退变性滑脱症;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;退变性滑脱症;前路和前外侧入路椎间融合;峡部裂性椎体滑脱;峡部裂性椎体滑脱;峡部裂性椎体滑脱;椎间融合+内固定 +椎管减压;峡部裂性椎间???稳