Progression of the influencing factors for the efficacy of posterior lumber interbody fusion in patients with degenerative lumbar spondylolisthesis
10.3760/cma.j.cn121113-20240625-00371
- VernacularTitle:退行性腰椎滑脱患者后路腰椎椎体间融合术后疗效影响因素的研究进展
- Author:
Dongyuan LIU
1
;
Xiaoliang LIU
;
Yongjie YANG
;
Haishan GUAN
Author Information
1. 山西医科大学第二医院骨科，太原 030001
- Keywords:
Lumbar vertebrae;
Spondylolysis;
Spinal fusion;
Root cause analysis
- From:
Chinese Journal of Orthopaedics
2024;44(19):1305-1312
- CountryChina
- Language:Chinese
-
Abstract:
Posterior lumbar interbody fusion (PLIF) is currently well accepted and considered as safe and effective spinal surgical technique for the treatment of degenerative lumbar spondylolisthesis, and is widely used in clinical practice. But there are still some cases with poor overall postoperative efficacy. In order to discuss the relevant factors and mechanisms affecting the clinical outcomes of PLIF surgery, many scholars have conducted a large number of clinical studies over the years. However, due to the different methods and the factors among included studies, the conclusions reached were also different or even completely opposed. This article reviews the research results of various influencing factors of the postoperative efficacy of PLIF in recent years, and analyzes age, gender, body mass index, bone mineral density, duration of preoperative symptoms, whether the sliding vertebral body is reduced, spine-pelvic sagittal parameters (including lumbar lordosis, sacral slope, pelvic tilt, pelvic incidence, pelvic incidence-lumbar lordosis and Roussouly classification) and other factors (underlying diseases and poor lifestyle habits) on the clinical effects of PLIF, in order to provide a reference for further improving the postoperative quality of life and functional recovery of patients with degenerative lumbar spondylolisthesis.
