后路腰椎椎體間融合術(shù)，簡稱PLIF。用于阻止脊柱目標(biāo)節(jié)段的活動。該術(shù)式被用于治療腰椎椎間盤退變性疾病引起的腰腿痛。PLIF還可用于腰椎滑脫。
警告：請?jiān)谟蠾IFI的場所觀看視頻，土豪請隨意。
Posterior Lumbar Interbody Fusion/PLIF
后路腰椎椎體間融合術(shù)
A posterior lumbar interbody fusion, called a PLIF, is a surgery designed to stop the motion at the targeted segment of the spine.
后路腰椎椎體間融合術(shù)，簡稱PLIF。該手術(shù)設(shè)計用于阻止脊柱目標(biāo)節(jié)段的活動。
A PLIF is done in the lumbar, or lower, spine. Most commonly it is performed on the L4-L5 or L5-S1 segment at the bottom of the lumbar spine.
PLIF手術(shù)應(yīng)用于腰椎或下方的脊椎。通常用于腰4/5或腰5/骶1（腰椎下方）節(jié)段。
This surgery may be done to treat lumbar degenerative disc disease, in which a degenerated disc becomes painful. It may also be done for a lumbar spondylolisthesis, in which one vertebra slips forward over the vertebra below it.
該術(shù)式被用于治療腰椎椎間盤退變性疾病，此時，退變的椎間盤引起疼痛。PLIF還可用于腰椎滑脫，即一個椎體在下位椎體的上方向前滑移。
A PLIF starts with a three to six-inch long incision in the midline of the back.
PLIF手術(shù)首先在背部正中線作一個3～6英寸長的切口。
Next, the lower back muscles, called erector spinae, are stripped off the lamina on both sides and at multiple levels.
然后，將腰部的肌肉（稱為豎脊?。┰诙鄠€節(jié)段從兩側(cè)的椎板上剝離下來。
The lamina is removed, which allows visualization of the nerve roots.
去除椎板，就可以看到神經(jīng)根。
The facet joints, which are directly over the nerve root, may then be trimmed to give the nerve roots more room.
修整神經(jīng)根正后方的關(guān)節(jié)突關(guān)節(jié)，使神經(jīng)根周圍有足夠空間。
The nerve roots are then retracted to one side and the disc space is cleaned of the disc material.
然后將神經(jīng)根牽向一側(cè)，將椎間隙的椎間盤組織清除。
Some type of implant, called a cage, is then inserted into the disc space. The cage helps restore more of the normal spacing in between the vertebrae, alleviating pressure on the nerve roots.
被稱為椎間融合器的一類植入物，被植入到椎間隙。椎間融合器有助于保留椎體間正常的間隙，緩解神經(jīng)根的壓迫。
Bone graft is placed in the cage and along the sides of the spine.
骨移植物被置入骨籠以及脊柱的側(cè)面。
There are many bone graft options. If the patient's own bone graft is used, bone morsels are harvested from the patient's iliac crest, along the back of the hip.
骨移植物有許多選擇。如果使用病人自體骨，可以沿著髖骨的后方，從病人的髂嵴上取碎骨片。
This is an additional surgical procedure that is done at the same time as the fusion surgery.
在融合手術(shù)的同時，取骨是額外的手術(shù)操作。
Bone that has been removed from a laminectomy may also be used, or synthetic bone graft options may be used.
從椎板切除術(shù)中切下的骨也可用于植骨。或者使用合成的骨移植材料。
The surgeon may implant a series of screws and rods to the back of the spine for additional support.
外科醫(yī)生可能會在脊柱的后方植入一系列的螺釘和棒以獲得額外的支撐。
A PLIF fusion may be supplemented by a simultaneous posterolateral spine fusion surgery.
PLIF融合術(shù)可能同時作后外側(cè)脊柱融合手術(shù)作為補(bǔ)充。
In addition to open surgery, a PLIF may sometimes be done through a tube in a minimally invasive approach.
在開放手術(shù)的基礎(chǔ)上，有時會用通道系統(tǒng)在微創(chuàng)入路作PLIF手術(shù)。
（脊醫(yī)高晨珉 轉(zhuǎn)）
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