脊柱疾患的手術(shù)治療進(jìn)展一傳統(tǒng)開(kāi)放vs現(xiàn)代微創(chuàng)中國(guó)脊柱外科學(xué)成立于1985年,一直致力于脊柱疾病臨床診治與基礎(chǔ)研究。脊椎退變性疾患脊柱與脊髓畸形脊柱創(chuàng)傷脊柱腫瘤脊柱疾患頸椎胸椎腰椎頸椎病胸椎間盤突出癥腰椎間盤突出癥頸椎管狹窄癥胸椎黃韌帶骨化癥腰椎管狹窄癥頸椎骨折脫胸椎骨折脫位腰椎骨折脫位枕頸及上頸椎畸形胸椎腫瘤腰椎滑脫頸椎結(jié)核胸椎結(jié)核腰骶椎結(jié)核頸椎腫瘤腰骶椎腫瘤脊柱畸形頸椎前路椎體次全切除植骨融合術(shù)枕頸后路行寰樞椎融合頸后路單/雙開(kāi)門減壓植骨融合內(nèi)固定術(shù)頸椎前后聯(lián)合入路骨折脫位、復(fù)位術(shù)統(tǒng)開(kāi)放三胸腰椎骨折脫位開(kāi)放復(fù)位內(nèi)固定術(shù)胸腰椎前后聯(lián)合入路結(jié)核病灶清除術(shù)腰后路減壓植骨融合內(nèi)固定術(shù)單純椎間盤髓核摘除術(shù)脊柱側(cè)彎三維矯形植骨內(nèi)固定術(shù)經(jīng)皮椎體成形術(shù)(PVP)經(jīng)皮球囊擴(kuò)張椎體后凸成形術(shù)(PKP后路椎間盤鏡下腰椎間盤摘除術(shù)(MED)經(jīng)皮椎間孔鏡腰椎間盤切除術(shù)(PELD)現(xiàn)代微三脊柱鏡下椎管擴(kuò)大減壓術(shù)經(jīng)皮椎間孔鏡頸椎間盤切除術(shù)(A/P-PECD)經(jīng)皮胸腰椎骨折復(fù)位內(nèi)國(guó)定術(shù)MIS-TLIF、MIS-PLIF、MIS-XLIF、MIS-ALIF、EndOLIF前路胸腔鏡/脊柱內(nèi)窺鏡下結(jié)核病灶清除術(shù)經(jīng)皮內(nèi)固定置釘側(cè)彎矯形術(shù)微Placement(Horgan)IntradiscalEloctrothermy.PercutaneousPeaminodoraminorary(Roh)SextantPercutar。ouAPLD200MIS-LumbarLaminectomyosis(Guiot,Khoo,oscopicAnterior科發(fā)展史ACDF(Robinson)lenonousrusThoracicDiscectomyMIS-CervicalAminoplast1966LateralTransponOppenheimerJH,DeCastroI,andMcDonnellDE.Minimallyinvasivespinetechnologyandminimallyrgery:ahistoricalreview/.//.NeurosurgFocus,2009,27(3):E9,脊柱退變性疾病傳統(tǒng)開(kāi)放TLF/PLIF/ALIF/XLIFPLIFTLIFEndolIFXLIFALIFPost-opM/45yPre-opL3-5雙側(cè)峽部裂TLF與P在治療脊柱退變性疾病方面已十分成熟。但開(kāi)放PL或TLF須廣泛剝離椎旁肌肉出血和軟組織損傷增加,影響術(shù)后恢復(fù)l2。I,KawaguchiY,MatsuiH,andTsujiH.Backmuscleinjuryafterposteriorlumbarspinesurgery.Ahistologicandenzymaticanalysis/J/.Spine(PhilaPa1976),2019,21(8):941-9442,StyfJRandWillenJ.Theeffectsofexternalcompressionbythreedifferentretractorsonpressureintheerectorspinemusclesduringandafterposteriorlumbarspinesurgery