经椎间孔椎体间融合技术
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经椎间孔椎体间融合技术
(Transforaminal lumbar inter-body fusion)
Method
(Anterior lumbar interbody fusion)
ALIF 经前路椎体间融合技术
PLIF
(Posterior lumbar interbody fusion) 经后路椎体间融合技术
TILF
(Transforaminal lumbar interbody fusion) 经椎间孔椎体间融技术
Company Logo
Transforaminal lumbar interbody fusion
(Anterior lumbar interbody fusion)
经前路椎体 间融合技术
Company Logo
Contraindication
1
骨质疏松
2
3
双侧硬膜周围纤维 化
间盘退变导致椎体 间骨质增生而致椎 间隙消失
[ 3 ] Christopher P, Ames, Frank L, et al. Biomechanical comparision of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion performed at 1 and 2 levels[ J ]. Sp ine , 2005, 19: 562 - 566. [ 4 ] Annette Kettler, Werner Schmoelz, ErichKast. In vitro stabilizing effect of a transforaminal compared with two posterior lumbar inter2 body fusion cages[ J ]. Sp ine, 2005, 22: 665 - 670.
Company Logo
Surgical procedures
图A：置入 椎弓根钉
Company Logo
Surgical procedures
图B：撑 开椎间
Company Logo
Surgical procedures
图C：切除上下关节 突关节
Company Logo
Surgical procedures
❖ (2).Harms J,Rolinger H:A one-stage procedure in operative treatment of spondylolistheses:Dorsal traction-reposition and anterior fusion[in German].Z Orthop Ihre Grenzgeb 120:343–347,1982.
Company Logo
Surgical procedures
图K：椎旁 植骨
Company Logo
Surgical procedures
TLIF术后侧面和正面观
Company Logo
图D、E： 切除椎间 盘，去除终 板软骨
Company Logo
Surgical procedures
图F：椎间 前方植骨
Company Logo
Surgical procedures
图G、H、I：置入椎间融合器
Company Logo
Surgical procedures
图J：椎间 加压，恢复 前凸
Company Logo
Transforaminal lumbar interbody fusion
1
History
2
Indications
3
Contraindication
4
Surgical procedures
Company Logo
History
❖1981年Blume和Rojas (1)提出单侧入路的PLIF 手术
Company Logo
Indications
Hale Waihona Puke Baidu
1
不合并神经症状或 合并单侧神经症状 的Ⅰ°、Ⅱ°腰椎 滑脱
2
不合并椎管内病理 改变的椎间盘造影 阳性的腰椎退变性 疾病
3
椎间盘切除综合征 （post discectomy syndromes，PDS） 腰椎再次手术
[ 3 ] Christopher P, Ames, Frank L, et al. Biomechanical comparision of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion performed at 1 and 2 levels[ J ]. Sp ine , 2005, 19: 562 - 566. [ 4 ] Annette Kettler, Werner Schmoelz, ErichKast. In vitro stabilizing effect of a transforaminal compared with two posterior lumbar inter2 body fusion cages[ J ]. Sp ine, 2005, 22: 665 - 670.
❖1982年Harms和Rolinge (2)在PLIF基础上，开 创并推广了腰椎后路经椎间孔椎体间融合术。
❖ (1).Blume HG,Rojas CH Unilateral Lumbar interbody fusion(posterior approach)utilizing dowel graft[J].J Neurol Orthop Surg,1981,2 171-175.
(Transforaminal lumbar inter-body fusion)
Method
(Anterior lumbar interbody fusion)
ALIF 经前路椎体间融合技术
PLIF
(Posterior lumbar interbody fusion) 经后路椎体间融合技术
TILF
(Transforaminal lumbar interbody fusion) 经椎间孔椎体间融技术
Company Logo
Transforaminal lumbar interbody fusion
(Anterior lumbar interbody fusion)
经前路椎体 间融合技术
Company Logo
Contraindication
1
骨质疏松
2
3
双侧硬膜周围纤维 化
间盘退变导致椎体 间骨质增生而致椎 间隙消失
[ 3 ] Christopher P, Ames, Frank L, et al. Biomechanical comparision of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion performed at 1 and 2 levels[ J ]. Sp ine , 2005, 19: 562 - 566. [ 4 ] Annette Kettler, Werner Schmoelz, ErichKast. In vitro stabilizing effect of a transforaminal compared with two posterior lumbar inter2 body fusion cages[ J ]. Sp ine, 2005, 22: 665 - 670.
Company Logo
Surgical procedures
图A：置入 椎弓根钉
Company Logo
Surgical procedures
图B：撑 开椎间
Company Logo
Surgical procedures
图C：切除上下关节 突关节
Company Logo
Surgical procedures
❖ (2).Harms J,Rolinger H:A one-stage procedure in operative treatment of spondylolistheses:Dorsal traction-reposition and anterior fusion[in German].Z Orthop Ihre Grenzgeb 120:343–347,1982.
Company Logo
Surgical procedures
图K：椎旁 植骨
Company Logo
Surgical procedures
TLIF术后侧面和正面观
Company Logo
图D、E： 切除椎间 盘，去除终 板软骨
Company Logo
Surgical procedures
图F：椎间 前方植骨
Company Logo
Surgical procedures
图G、H、I：置入椎间融合器
Company Logo
Surgical procedures
图J：椎间 加压，恢复 前凸
Company Logo
Transforaminal lumbar interbody fusion
1
History
2
Indications
3
Contraindication
4
Surgical procedures
Company Logo
History
❖1981年Blume和Rojas (1)提出单侧入路的PLIF 手术
Company Logo
Indications
Hale Waihona Puke Baidu
1
不合并神经症状或 合并单侧神经症状 的Ⅰ°、Ⅱ°腰椎 滑脱
2
不合并椎管内病理 改变的椎间盘造影 阳性的腰椎退变性 疾病
3
椎间盘切除综合征 （post discectomy syndromes，PDS） 腰椎再次手术
[ 3 ] Christopher P, Ames, Frank L, et al. Biomechanical comparision of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion performed at 1 and 2 levels[ J ]. Sp ine , 2005, 19: 562 - 566. [ 4 ] Annette Kettler, Werner Schmoelz, ErichKast. In vitro stabilizing effect of a transforaminal compared with two posterior lumbar inter2 body fusion cages[ J ]. Sp ine, 2005, 22: 665 - 670.
❖1982年Harms和Rolinge (2)在PLIF基础上，开 创并推广了腰椎后路经椎间孔椎体间融合术。
❖ (1).Blume HG,Rojas CH Unilateral Lumbar interbody fusion(posterior approach)utilizing dowel graft[J].J Neurol Orthop Surg,1981,2 171-175.