CAJ | 학술논문

保守失败的腰椎退行性疾病常需要手术治疗，传统的双侧椎弓根螺钉腰椎融合术可能增加邻近节段退变的发生率。近年研究表明，单侧椎弓根螺钉结合椎体间融合术治疗腰椎退行性疾病可获得与传统双侧椎弓根螺钉固定相似的稳定性与融合率，并可预防固定融合节段的邻近节段退变，但应用单侧椎弓根螺钉固定需要严格掌握手术适应证。
보수실패적요추퇴행성질병상수요수술치료，전통적쌍측추궁근라정요추융합술가능증가린근절단퇴변적발생솔。근년연구표명，단측추궁근라정결합추체간융합술치료요추퇴행성질병가획득여전통쌍측추궁근라정고정상사적은정성여융합솔，병가예방고정융합절단적린근절단퇴변，단응용단측추궁근라정고정수요엄격장악수술괄응증。
The patients with lumber degenerative spondylolisthesis often have to undergo surgical treatment. Conventional surgical approach is performed by bilateral pedicle screw fixation in lumbar interbody fusion, and this maybe accelerate segment degeneration of adjacent vertebral bodies. The recent studies indicate that unilateral pedicle screw fixation in lumbar interbody fusion can achieve the same effect on stability and interbody fusion by using conventional bilateral pedicle screw fixation in lumbar interbody fusion,.and prevent from segment degeneration of vertebral bodies. But the operation indication must be restrictedly controlled, the operation technique be skilled.