【骨科】2014年版美国神经外科医师协会腰椎融合术治疗退行性腰椎疾病指南解读.pdf

中国现代神经疾病杂志 2016年4月第16卷第4期 Chin J Contemp Neurol Neurosurg, April 2016, Vol. 16, No. 4 2014年版美国神经外科医师协会腰椎融合术治疗 退行性腰椎疾病指南解读 陈赞 doi：10.3969/j.issn.1672⁃6731.2016.04.002 作 者 单 位 ：100053北 京 ，首 都 医 科 大 学 宣 武 医 院 神 经 外 科 ， Email：chenzan66@163.com 【摘要】腰椎融合术是治疗退行性腰椎疾病的重要手术方法，自 2005年美国神经外科医师协会发 表腰椎融合术治疗退行性腰椎疾病的第 1版指南后， 2014年再次发表新版指南。新版指南通过文献分 析从腰椎融合术后腰椎功能评价、 卫生经济学评价 、影像学评价等 16个方面，对现有的循证医学证据进 行分析，确定不同的推荐级别，以指导临床实践。本文通过对新版指南进行概要性 解读，以使国内神经 外科医师和脊柱外科医师对新版指南有所了解 。 【关键词】腰椎； 脊柱融合术； 指南； 综述 Interpretation of "Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine (2014)" CHEN Zan Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China (Email: chenzan66@163.com) 【Abstract】Lumbarfusionprocedures have become a necessary management strategy in the treatment of lumbar degenerative disease. The new version of the "Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine" was published by American Association of Neurological Surgeons (AANS) in 2014 since the first version had been published in 2005. Through comprehensive review of existing literatures, the new guideline analyzed current evidence of evidence⁃based medicine and formulated hierarchical recommendation grades from 16 topics which included assessment of functional outcome following lumbar fusion, assessment of economic outcome, radiographic assessment of fusion status, and so on, in order to provide clinical treatment guidance. This article interpreted the new guidelines summarily to help surgeons gain some understanding on it. 【Key words】Lumbar vertebrae;Spinalfusion; Guidelines;Review 腰 椎 融 合 术 是 治 疗 退 行 性 腰