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相关推文
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退变性脊柱侧弯的腰骶碎片弯的凹侧,高度丢失。
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退变性腰椎滑脱常常伴随关节突关节增生,导致上关节突增生导致椎间孔狭窄加重。
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腰椎节段不稳在后伸位会加重椎间孔狭窄。
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椎间孔内骨赘分型:1混合骨赘,2上椎体的下终板骨赘,3上椎体椎弓根与椎板交界处骨赘,4下椎体的上终板骨赘。
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所以TLIF术后发生对侧症状的两个因素:cage偏手术侧而且偏高,这样对侧的高度丢失;植入cage时松解不够导致上位椎体旋转,下椎体的上关节突致椎间孔狭窄。
参考文献
Taçyıldız AE, İnceoğlu F. Classification of Osteophytes Occurring in the Lumbar Intervertebral Foramen. Tomography 2024;10:618–31.2.Su C, Liu X, Shao Y, et al. Specific foraminal changes originate from degenerative spondylolisthesis on computed tomographic images. Eur Spine J 2023;32:1077–86.
Lu W, Zhang J, Deng Y, et al. Analysis of risk factors for contralateral symptomatic foraminal stenosis after unilateral transforaminal lumbar interbody fusion. International Orthopaedics (SICOT) 2023;47:1815–26.
Fujita N, Yagi M, Yamada Y, et al. Changes in the lumbar intervertebral foramen between supine and standing posture in patients with adult spinal deformity: a study with upright computed tomography. Skeletal Radiol 2023;52:215–24.
Wang T, Wang L, Zang L, et al. Morphometric change in intervertebral foramen after percutaneous endoscopic lumbar foraminotomy: an in vivo radiographic study based on three-dimensional foramen reconstruction. International Orthopaedics (SICOT). Epub ahead of print December 24, 2022. DOI: 10.1007/s00264-022-05664-y.
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