腰椎椎体后缘离断症(posterior ring apophyseal fracture, PRAF)临床上较罕见,各年龄段均可发病。目前腰椎PRAF的病因及发病机制仍然存在争议,确诊必须依靠影像学检查。该病保守治疗效果欠佳,往往需要手术治疗,但临床上对手术方式、手术入路以及是否切除离断骨块或椎间盘存在争议。目前微创技术日益取得临床的广泛认可,但长期疗效有待进一步考证。本文对脊柱微创技术治疗腰椎PRAF近5年研究进展作一综述。Posterior ring apophyseal fracture (PRAF) of the lumbar vertebrae is more common in adolescents and is relatively rare in clinical practice. Currently, the pathogenesis of PRAF remains controversial, and the diagnosis relies on clinical manifestations and imaging examinations. Conservative treatment for this condition is ineffective, and surgical intervention is necessary. However, there is still debate in clinical practice regarding the surgical approach and whether to remove the detached bone fragment and intervertebral disc. Minimally invasive techniques have increasingly gained wide recognition in clinical practice, but their long-term efficacy remains to be further verified. This article reviews the research progress in the treatment of PRAF using minimally invasive spinal techniques.
