机器人辅助经椎间孔腰椎椎体间融合术专家共识

doi:10.6040/j.issn.1671-7554.0.2025.0665

摘要/Abstract

摘要： 机器人辅助经椎间孔腰椎椎体间融合术(robot-assisted transforaminal lumbar interbody fusion, RA-TLIF)是一项新兴的手术技术,与传统透视引导下徒手TLIF相比,其准确率高,在椎弓根纤细、解剖变异和翻修手术中具有巨大的优势。目前关于RA-TLIF的关键手术技术、并发症和远期随访方面尚存在一定争议,部分医生对手术的适应证和禁忌证等问题尚不明确。为规范RA-TLIF的临床应用,稳步推进该技术的开展,经全国脊柱专家多次讨论,在循证医学的基础上,使用改良Delphi调查法制定本共识,为广大同道提供参考。

关键词: 机器人辅助, 经椎间孔腰椎椎体间融合术, 临床应用, 手术技术, 专家共识

Abstract: Robot-assisted TLIF(RA-TLIF)is an emerging surgical technique with higher accuracy than traditional fluoroscopy-traditional guided TLIF, which highlights great advantages especially in pedicle slenderness, anatomical variations and revision surgery. There is still some controversy about the key surgical techniques, complications and long-term follow-up of RA-TLIF, and some surgeons grasp of the indications and contraindications of the procedure is still unclear. In order to standardise the clinical application of RA-TLIF and to steadily promote the development of this technology, this consensus has been formulated on the basis of evidence-based medicine using the modified Delphi survey method after many discussions among spine experts across the country to provide a reference for the majority of colleagues.

Key words: Robot-assisted, Transforaminal lumbar interbody fusion, Clinical application, Surgical techniques, Expert consensus

中图分类号:

R681.5

机器人辅助经椎间孔腰椎椎体间融合术手术技术专家组. 机器人辅助经椎间孔腰椎椎体间融合术专家共识[J]. 山东大学学报 (医学版), 2026, 64(2): 11-21.

Intelligent Orthopedics Subgroup of Chinese Association of Orthopedic, Subgroup for Prevention and Control of Spinal and Spinal Cord Injury Diseases of Professional Committee for Prevention and Control of Spinal Diseases of Chinese Preventive Medicine Association. Expert consensus on robot-assisted transforaminal lumbar interbody fusion surgical techniques[J]. Journal of Shandong University (Health Sciences), 2026, 64(2): 11-21.

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