摘要：

腰椎融合术是治疗退行性腰椎疾病的重要手术方法，自2005 年美国神经外科医师协会发表腰椎融合术治疗退行性腰椎疾病的第1 版指南后，2014 年再次发表新版指南。新版指南通过文献分析从腰椎融合术后腰椎功能评价、卫生经济学评价、影像学评价等16 个方面，对现有的循证医学证据进行分析，确定不同的推荐级别，以指导临床实践。本文通过对新版指南进行概要性解读，以使国内神经外科医师和脊柱外科医师对新版指南有所了解。

关键词: 腰椎, 脊柱融合术, 指南, 综述

Abstract:

Lumbar fusion procedures have become a necessary management strategy in the treatment of lumbar degenerative disease. The new version of the "Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine" was published by American Association of Neurological Surgeons (AANS) in 2014 since the first version had been published in 2005. Through comprehensive review of existing literatures, the new guideline analyzed current evidence of evidence-based medicine and formulated hierarchical recommendation grades from 16 topics which included assessment of functional outcome following lumbar fusion, assessment of economic outcome, radiographic assessment of fusion status, and so on, in order to provide clinical treatment guidance. This article interpreted the new guidelines summarily to help surgeons gain some understanding on it.

Key words: Lumbar vertebrae, Spinal fusion, Guidelines, Review