结论

腰椎退行性疾病患者PSIF术后3个月佩戴支具不能改善生活质量或缓解疼痛。

01总结

腰部支具不能改善腰椎手术后患者的残疾指数、疼痛评分、生活质量，也不能提高术后融合率、降低并发症、降低再手术率。

02提醒

临床工作中，腰椎手术是否需要佩戴腰围不能一概而论，比如脊柱矫形手术、长节段固定手术、椎体次全切等术后是否佩戴腰围应该遵医嘱而定，具体情况，具体分析！

参考文献：

1.Jacob J. Jones, Samuel Oduwole……Postoperative Bracing on Pain, Disability, Complications,and Fusion Rate Following 1–3 Level Lumbar Fusion in Degenerative Conditions，Clin Spine Surg Volume 00, Number 00, 2020。

2.Davide Nasi，Mauro Dobran，Giacomo Pavesi，The efcacy of postoperative bracing after spine surgery for lumbar degenerative diseases: a systematic review，European Spine Journal，2019.11.1。

3.Liedewij Bogaert，Peter Van Wambeke……Postoperative bracing after lumbar surgery: a survey amongst spinal surgeons in Belgium，European Spine Journal，2018.11.

4.Yu-Cheng Yao, Hsi-Hsien Lin……Bracing Following Transforaminal Lumbar Interbody Fusion is not Necessary for Patients With Degenerative Lumbar Spine Disease，Clin Spine Surg Number 9, November 2018。

5.Hany A.G. Soliman，Soraya Barchi……Early Impact of Postoperative Bracing on Pain and Quality of Life After Posterior Instrumented Fusion for Lumbar Degenerative Conditions，SPINE 2018 43:155–160

组稿：申瑛

审校：江 伟