2014 年版美国神经外科医师协会腰椎融合术治疗退行性腰椎疾病指南 .pdf

中国现代神经疾病杂志 年 月第 卷第 期 4 ·182 · 2016 4 16 4 Chin J Contemp Neurol Neurosurg, April 2016, Vol. 16, No. 2014 年版美国神经外科医师协会腰椎融合术治疗 退行性腰椎疾病指南解读 陈赞 【 】 腰椎融合术是治疗退行性腰椎疾病的重要手术方法，自 年美国神经外科医师协会发 摘要 2005 表腰椎融合术治疗退行性腰椎疾病的第 版指南后， 年再次发表新版指南。新版指南通过文献分 1 2014 析从腰椎融合术后腰椎功能评价、卫生经济学评价、影像学评价等 个方面，对现有的循证医学证据进 16 行分析，确定不同的推荐级别，以指导临床实践。本文通过对新版指南进行概要性解读，以使国内神经 外科医师和脊柱外科医师对新版指南有所了解。 【 】 腰椎； 脊柱融合术； 指南； 综述 关键词 Interpretation of Guideline update for the performance of fusion procedures for degenerativediseaseofthelumbarspine(2014) CHEN Zan DepartmentofNeurosurgery,XuanwuHospital,CapitalMedicalUniversity,Beijing100053,China (Email:chenzan66@163.com) 【 】 Abstract Lumbar fusion procedures have become a necessary management strategy in the treatment of lumbar degenerative disease. The new version of the Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine was published by American Association of Neurological Surgeons (AANS) in 2014 since the first version had been published in 2005. Through comprehensive review of existing literatures, the new guideline analyzed current evidence of evidence ⁃based medicine and formulated hierarchical recommendation grades from 16 topics which included assessment of functional outcome following lumbar fusion, assessment of economic outcome, radiographic assessment of fusion status, and so on, in order to provide clinical treatment guidance. This article interpreted the new guidelines summarily to help surgeons gain some understanding on it. 【 】 Keywords Lum