373中国矫形外科杂志OrthopedicJournalofChinaVol.31,No.4Feb.2023第31卷第4期2023年2月·临床研究·单节段腰椎退行病内镜下经椎间孔腰椎体间融合刘关中华，张志强，刘洪亮，马登辉，刘宏建*（郑州大学第一附属医院骨二科，河南郑州450052）摘要：［目的］探讨经皮全内镜下经椎间孔椎体间融合术治疗单节段腰椎疾病的疗效。［方法］2015年6月—2019年5月，对24例单节段腰椎疾病患者采用经皮全内镜下经椎间孔椎体间融合术治疗。评价临床与影像资料。［结果］24例患者均顺利完成手术，无严重并发症。随时间推移，腰痛VAS评分、腿痛VAS评分、ODI评分均显著减少（P<0.05）。影像方面，术后3个月及末次随访时，椎间隙高度较术前显著增加（P<0.05），L2S1前凸角略有增加，但差异无统计学意义（P>0.05）。所有患者均获得椎间融合，无椎间融合器移位、螺钉及连接棒移位断裂等发生。［结论］采用经皮全内镜下经椎间孔椎体间融合术治疗单节段腰椎疾病疗效满意。关键词：腰椎退变性疾病，经皮内镜下经椎间孔腰椎椎间融合术，疗效中图分类号：R681.5文献标志码：A文章编号：1005-8478（2023）04-0373-03Endoscopictransforaminallumbarinterbodyfusionforsingle-segmentlumbardegenerativediseases//LIUGuan-zhong-hua,ZHANGZhi-qiang,LIUHong-liang,MADeng-hui,LIUHong-jian.TheSecondDepartmentofOrthopedics,TheFirstAffiliatedHospi⁃tal,ZhengzhouUniversity,Zhengzhou450052,ChinaAbstract:[Objective]Toexploretheclinicaloutcomesofpercutaneousfull-endoscopictransforaminallumbarinterbodyfusionforsingle-segmentlumbardisease.[Method]FromJune2015toMay2019,24patientswithsingle-segmentlumbardiseaseweretreatedwithpercutaneousfull-endoscopictransforaminallumbarinterbodyfusion.Theclinicalandradiographicdocumentswereevaluated.[Results]Allpatientshadoperationperformedsmoothlywithoutseriouscomplications.TheVASscoresforbackpainandlegpain,aswellasODIscoresignificantlydecreasedovertime(P<0.05).Radiographically,theintervertebralspacesignificantlyincreased(P<0.05),whereasthelumbarlordoticangleslightincreasedwithoutstatisticalsignificancepostoperativelycomparedwiththosepreoperatively(P>0.05).Allpa⁃tientsachievedintervertebralfusionwithoutimplantlooseningorbreakinguntilthelatestfollow-up.[Conclusio...
