腰椎峡部裂修复术后愈合相关因素的研究进展△

Research progress on factors related to healing after lumbar spondylolysis repair

摘要:

腰椎峡部裂是引起青少年下腰痛的常见病因之一，最常见的治疗方式为保守治疗。在保守治疗无效或者合并椎体滑脱时常常需要手术治疗。大多数患者经手术治疗后峡部裂的断端可愈合，而少部分患者因自身内源性因素或者外源性因素引起峡部裂断端的延迟愈合甚至不愈合。目前关于峡部裂修复术后愈合的相关因素并未见相关文献进行具体阐述，本文通过整理近年来峡部裂修复术后及骨折愈合不良相关文献，对峡部裂修复术后愈合不良因素进行综述。

Abstract:

Spondylolysis is a prevalent cause of low back pain among adolescents. Conservative treatment is the most commonly pre-scribed approach. However, surgical intervention becomes necessary if the conservative treatment fails to alleviate the symptoms or whenthere is a vertebral slippage. Generally, surgical remedies have a high success rate in remedying spondylolysis. Nevertheless, the recoveryprocess may be hindered by multiple factors, such as endogenous items, including the position of the isthmus segment, stages of the isth-mus, the condition of the opposite isthmus, metabolic disorders, vitamin D deficiencies, and exogenous factors, involving smoking habits,the choice of internal fixation, the type of bone graft used in the surgical site, environmental factors and medication usage. The purpose ofthis paper is to provide an all-inclusive scrutiny of the factors leading to inadequate postoperative healing in adolescent spondylolysis.