腰椎融合术前邻近节段退变对术后ASD影响的研究现状与进展
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摘要
腰椎融合术是治疗腰椎退行性疾病的标准术式,融合术后邻近节段退变(adjacent segment degeneration,ASD)加速受到广泛关注。术前已存在的邻近节段退变已被大部分学者认为是术后ASD的重要危险因素之一,是近十年来研究的热点。本文综述了术前已存在的邻近节段退变对术后ASD影响的研究现状与进展,希望利于脊柱外科医生全面评估术前邻近节段退变,选择合理的手术方式,进而减缓术后ASD的发生。
Lumbar spinal fusion is the standard operation to treat degenerative lumbar spinal diseases. The acceleration of adjacent segment degeneration(ASD) after lumbar spinal fusion has attracted wide attention. Pre-existing adjacent segment pathology has been widely considered as one of the major risk factors for post-operative ASD, and has become a research hot spot in recent years. This paper reviews the research status and progress in the impact of pre-existing adjacent segment pathology on adjacent segment degeneration after lumbar spinal fusion, in order to help spinal surgeons to comprehensively evaluate adjacent segment pathology pre-operation and to select a proper operative procedure, so as to reduce the incidence of post-operative ASD.
Lumbar spinal fusion is the standard operation to treat degenerative lumbar spinal diseases. The acceleration of adjacent segment degeneration(ASD) after lumbar spinal fusion has attracted wide attention. Pre-existing adjacent segment pathology has been widely considered as one of the major risk factors for post-operative ASD, and has become a research hot spot in recent years. This paper reviews the research status and progress in the impact of pre-existing adjacent segment pathology on adjacent segment degeneration after lumbar spinal fusion, in order to help spinal surgeons to comprehensively evaluate adjacent segment pathology pre-operation and to select a proper operative procedure, so as to reduce the incidence of post-operative ASD.
引文
[1]刘列华,兰阳军,周强.腰椎融合手术方式的历史与进展[J].中国矫形外科杂志,2013,(24):2486-2489.
[2]Rajaee SS,Bae HW,Kanim LE,et al.Spinal fusion in the United States:analysis of trends from 1998 to 2008[J].Spine(Phila Pa1976),2012,37(1):67-76.
[3]Anderson CE.Spondyloschisis following spine fusion[J].J Bone Joint Surg Am,1956,38-A(5):1142-1146.
[4]Nakashima H,Kawakami N,Tsuji T,et al.Adjacent segment disease after posterior lumbar interbody fusion:based on cases with a minimum of 10 years of follow-up[J].Spine(Phila Pa 1976),2015,40(14):E831-E841.
[5]Glaser J,Stanley M,Sayre H,et al.A 10-year follow-up evaluation of lumbar spine fusion with pedicle screw fixation[J].Spine(Phila Pa 1976),2003,28(13):1390-1395.
[6]Irmola TM,Hakkinen A,Jarvenpaa S,et al.Reoperation Rates Following Instrumented Lumbar Spine Fusion[J].Spine(Phila Pa 1976),2017,43(4):295-301.
[7]郭昭庆,陈仲强,李危石,等.腰椎融合术后邻近节段退变的诊断与治疗[J].中国脊柱脊髓杂志,2006,16(1):15-18.
[8]瞿东滨,朱青安,钟世镇.脊柱融合术后邻近节段退变及其机制[J].中国脊柱脊髓杂志,1998,8(6):47-49.
[9]Helgeson MD,Bevevino AJ,Hilibrand AS.Update on the evidence for adjacent segment degeneration and disease[J].Spine J,2013,13(3):342-351.
[10]Park P,Garton HJ,Gala VC,et al.Adjacent segment disease after lumbar or lumbosacral fusion:review of the literature[J].Spine,2004,29(17):1938-1944.
[11]Xia XP,Chen HL,Cheng HB.Prevalence of adjacent segment degeneration after spine surgery:a systematic review and metaanalysis[J].Spine(Phila Pa 1976),2013,38(7):597-608.
[12]Scemama C,Magrino B,Gillet P,et al.Risk of adjacent-segment disease requiring surgery after short lumbar fusion:results of the French Spine Surgery Society Series[J].J Neurosurg Spine,2016,25(1):46-51.
[13]Li C,He Q,Tang Y,et al.The fate of adjacent segments with preexisting degeneration after lumbar posterolateral fusion:the influence of degenerative grading[J].European Spine Journal,2015,24(11):2468-2473.
[14]刘则征,张忠民,金大地.腰椎融合内固定术后邻近节段退变的影响因素[J].南方医科大学学报,2010,30(5):1134-1137.
[15]Wang H,Ma L,Yang D,et al.Incidence and risk factors of adjacent segment disease following posterior decompression and instrumented fusion for degenerative lumbar disorders[J].Medicine(Baltimore),2017,96(5):e6032.
[16]Kim HJ,Kang KT,Chun HJ,et al.The influence of intrinsic disc degeneration of the adjacent segments on its stress distribution after one-level lumbar fusion[J].Eur Spine J,2015,24(4):827-837.
[17]Olsewski JM,Schendel MJ,Wallace LJ,et al.Magnetic resonance imaging and biological changes in injured intervertebral discs under normal and increased mechanical demands[J].Spine(Phila Pa1976),1996,21(17):1945-1951.
[18]Ghiselli G,Wang JC,Bhatia NN,et al.Adjacent segment degeneration in the lumbar spine[J].J Bone Joint Surg Am,2004,86-A(7):1497-1503.
[19]Lee CS,Hwang CJ,Lee SW,et al.Risk factors for adjacent segment disease after lumbar fusion[J].Eur Spine J,2009,18(11):1637-1643.
[20]Kaito T,Hosono N,Mukai Y,et al.Induction of early degeneration of the adjacent segment after posterior lumbar interbody fusion by excessive distraction of lumbar disc space[J].J Neurosurg Spine,2010,12(6):671-679.
[21]Ou CY,Lee TC,Lee TH,et al.Impact of body mass index on adjacent segment disease after lumbar fusion for degenerative spine disease[J].Neurosurgery,2015,76(4):396-402.
[22]Okuda S,Iwasaki M,Miyauchi A,et al.Risk factors for adjacent segment degeneration after PLIF[J].Spine(Phila Pa 1976),2004,29(14):1535-1540.
[23]Kim JY,Ryu DS,Paik HK,et al.Paraspinal muscle,facet joint,and disc problems:risk factors for adjacent segment degeneration after lumbar fusion[J].The Spine Journal,2016,16(7):867-875.
[24]Sato S,Yagi M,Machida M,et al.Reoperation rate and risk factors of elective spinal surgery for degenerative spondylolisthesis:minimum 5-year follow-up[J].Spine J,2015,15(7):1536-1544.
[25]Choi KC,Kim JS,Shim HK,et al.Changes in the adjacent segment10 years after anterior lumbar interbody fusion for low-grade isthmic spondylolisthesis[J].Clin Orthop Relat Res,2014,472(6):1845-1854.
[26]Yugue I,Okada S,Masuda M,et al.Risk factors for adjacent segment pathology requiring additional surgery after single-level spinal fusion:impact of pre-existing spinal stenosis demonstrated by preoperative myelography[J].Eur Spine J,2016,25(5):1542-1549.
[27]Zhong ZM,Deviren V,Tay B,et al.Adjacent segment disease after instrumented fusion for adult lumbar spondylolisthesis:Incidence and risk factors[J].Clin Neurol Neurosurg,2017,156(2):29-34.
[28]Miyagi M,Ikeda O,Ohtori S,et al.Additional decompression at adjacent segments leads to adjacent segment degeneration after PLIF[J].Eur Spine J,2013,22(8):1877-1883.
[29]Radcliff KE,Kepler CK,Jakoi A,et al.Adjacent segment disease in the lumbar spine following different treatment interventions[J].Spine J,2013,13(10):1339-1349.
[30]Hikata T,Kamata M,Furukawa M.Risk factors for adjacent segment disease after posterior lumbar interbody fusion and efficacy of simultaneous decompression surgery for symptomatic adjacent segment disease[J].J Spinal Disord Tech,2014,27(2):70-75.
[31]Omair A,Mannion AF,Holden M,et al.Age and pro-inflammatory gene polymorphisms influence adjacent segment disc degeneration more than fusion does in patients treated for chronic low back pain[J].European Spine Journal,2016,25(1):2-13.
[32]付海祥,曹兴兵,陈奇,等.腰椎间盘突出症融合术后邻近节段退变危险因素[J].中国矫形外科杂志,2015,23(13):1179-1182.
[33]Hassett G,Hart DJ,Manek NJ,et al.Risk factors for progression of lumbar spine disc degeneration:the Chingford Study[J].Arthritis Rheum,2003,48(11):3112-3117.
[34]Maruenda JI,Barrios C,Garibo F,et al.Adjacent segment degeneration and revision surgery after circumferential lumbar fusion:outcomes throughout 15 years of follow-up[J].Eur Spine J,2016,25(5):1550-1557.
[35]Ekman P,Moller H,Shalabi A,et al.A prospective randomised study on the long-term effect of lumbar fusion on adjacent disc degeneration[J].Eur Spine J,2009,18(8):1175-1186.
[2]Rajaee SS,Bae HW,Kanim LE,et al.Spinal fusion in the United States:analysis of trends from 1998 to 2008[J].Spine(Phila Pa1976),2012,37(1):67-76.
[3]Anderson CE.Spondyloschisis following spine fusion[J].J Bone Joint Surg Am,1956,38-A(5):1142-1146.
[4]Nakashima H,Kawakami N,Tsuji T,et al.Adjacent segment disease after posterior lumbar interbody fusion:based on cases with a minimum of 10 years of follow-up[J].Spine(Phila Pa 1976),2015,40(14):E831-E841.
[5]Glaser J,Stanley M,Sayre H,et al.A 10-year follow-up evaluation of lumbar spine fusion with pedicle screw fixation[J].Spine(Phila Pa 1976),2003,28(13):1390-1395.
[6]Irmola TM,Hakkinen A,Jarvenpaa S,et al.Reoperation Rates Following Instrumented Lumbar Spine Fusion[J].Spine(Phila Pa 1976),2017,43(4):295-301.
[7]郭昭庆,陈仲强,李危石,等.腰椎融合术后邻近节段退变的诊断与治疗[J].中国脊柱脊髓杂志,2006,16(1):15-18.
[8]瞿东滨,朱青安,钟世镇.脊柱融合术后邻近节段退变及其机制[J].中国脊柱脊髓杂志,1998,8(6):47-49.
[9]Helgeson MD,Bevevino AJ,Hilibrand AS.Update on the evidence for adjacent segment degeneration and disease[J].Spine J,2013,13(3):342-351.
[10]Park P,Garton HJ,Gala VC,et al.Adjacent segment disease after lumbar or lumbosacral fusion:review of the literature[J].Spine,2004,29(17):1938-1944.
[11]Xia XP,Chen HL,Cheng HB.Prevalence of adjacent segment degeneration after spine surgery:a systematic review and metaanalysis[J].Spine(Phila Pa 1976),2013,38(7):597-608.
[12]Scemama C,Magrino B,Gillet P,et al.Risk of adjacent-segment disease requiring surgery after short lumbar fusion:results of the French Spine Surgery Society Series[J].J Neurosurg Spine,2016,25(1):46-51.
[13]Li C,He Q,Tang Y,et al.The fate of adjacent segments with preexisting degeneration after lumbar posterolateral fusion:the influence of degenerative grading[J].European Spine Journal,2015,24(11):2468-2473.
[14]刘则征,张忠民,金大地.腰椎融合内固定术后邻近节段退变的影响因素[J].南方医科大学学报,2010,30(5):1134-1137.
[15]Wang H,Ma L,Yang D,et al.Incidence and risk factors of adjacent segment disease following posterior decompression and instrumented fusion for degenerative lumbar disorders[J].Medicine(Baltimore),2017,96(5):e6032.
[16]Kim HJ,Kang KT,Chun HJ,et al.The influence of intrinsic disc degeneration of the adjacent segments on its stress distribution after one-level lumbar fusion[J].Eur Spine J,2015,24(4):827-837.
[17]Olsewski JM,Schendel MJ,Wallace LJ,et al.Magnetic resonance imaging and biological changes in injured intervertebral discs under normal and increased mechanical demands[J].Spine(Phila Pa1976),1996,21(17):1945-1951.
[18]Ghiselli G,Wang JC,Bhatia NN,et al.Adjacent segment degeneration in the lumbar spine[J].J Bone Joint Surg Am,2004,86-A(7):1497-1503.
[19]Lee CS,Hwang CJ,Lee SW,et al.Risk factors for adjacent segment disease after lumbar fusion[J].Eur Spine J,2009,18(11):1637-1643.
[20]Kaito T,Hosono N,Mukai Y,et al.Induction of early degeneration of the adjacent segment after posterior lumbar interbody fusion by excessive distraction of lumbar disc space[J].J Neurosurg Spine,2010,12(6):671-679.
[21]Ou CY,Lee TC,Lee TH,et al.Impact of body mass index on adjacent segment disease after lumbar fusion for degenerative spine disease[J].Neurosurgery,2015,76(4):396-402.
[22]Okuda S,Iwasaki M,Miyauchi A,et al.Risk factors for adjacent segment degeneration after PLIF[J].Spine(Phila Pa 1976),2004,29(14):1535-1540.
[23]Kim JY,Ryu DS,Paik HK,et al.Paraspinal muscle,facet joint,and disc problems:risk factors for adjacent segment degeneration after lumbar fusion[J].The Spine Journal,2016,16(7):867-875.
[24]Sato S,Yagi M,Machida M,et al.Reoperation rate and risk factors of elective spinal surgery for degenerative spondylolisthesis:minimum 5-year follow-up[J].Spine J,2015,15(7):1536-1544.
[25]Choi KC,Kim JS,Shim HK,et al.Changes in the adjacent segment10 years after anterior lumbar interbody fusion for low-grade isthmic spondylolisthesis[J].Clin Orthop Relat Res,2014,472(6):1845-1854.
[26]Yugue I,Okada S,Masuda M,et al.Risk factors for adjacent segment pathology requiring additional surgery after single-level spinal fusion:impact of pre-existing spinal stenosis demonstrated by preoperative myelography[J].Eur Spine J,2016,25(5):1542-1549.
[27]Zhong ZM,Deviren V,Tay B,et al.Adjacent segment disease after instrumented fusion for adult lumbar spondylolisthesis:Incidence and risk factors[J].Clin Neurol Neurosurg,2017,156(2):29-34.
[28]Miyagi M,Ikeda O,Ohtori S,et al.Additional decompression at adjacent segments leads to adjacent segment degeneration after PLIF[J].Eur Spine J,2013,22(8):1877-1883.
[29]Radcliff KE,Kepler CK,Jakoi A,et al.Adjacent segment disease in the lumbar spine following different treatment interventions[J].Spine J,2013,13(10):1339-1349.
[30]Hikata T,Kamata M,Furukawa M.Risk factors for adjacent segment disease after posterior lumbar interbody fusion and efficacy of simultaneous decompression surgery for symptomatic adjacent segment disease[J].J Spinal Disord Tech,2014,27(2):70-75.
[31]Omair A,Mannion AF,Holden M,et al.Age and pro-inflammatory gene polymorphisms influence adjacent segment disc degeneration more than fusion does in patients treated for chronic low back pain[J].European Spine Journal,2016,25(1):2-13.
[32]付海祥,曹兴兵,陈奇,等.腰椎间盘突出症融合术后邻近节段退变危险因素[J].中国矫形外科杂志,2015,23(13):1179-1182.
[33]Hassett G,Hart DJ,Manek NJ,et al.Risk factors for progression of lumbar spine disc degeneration:the Chingford Study[J].Arthritis Rheum,2003,48(11):3112-3117.
[34]Maruenda JI,Barrios C,Garibo F,et al.Adjacent segment degeneration and revision surgery after circumferential lumbar fusion:outcomes throughout 15 years of follow-up[J].Eur Spine J,2016,25(5):1550-1557.
[35]Ekman P,Moller H,Shalabi A,et al.A prospective randomised study on the long-term effect of lumbar fusion on adjacent disc degeneration[J].Eur Spine J,2009,18(8):1175-1186.
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