术后失明是一种极其罕见并且严重影响生活质量的脊柱术后并发症，临床上国内外的大多数 报道都与缺血性视神经病变有关，但是其导致脊柱术后失明的发病机制和危险因素仍在探寻中。由于国 内对该并发症的认识不深，因此本文就缺血性视神经病变所致的脊柱术后失明的解剖基础、发病机制、诊断、危险因素和预防策略作一综述，以供广大医师在临床中重视并做好预防策略，防止脊柱术后失明这一 严重并发症的发生。

Postoperative vision loss is an extremely rare postoperative complication，which seriously af⁃ fects the quality of life. Up to day，it is assumed in most reports at home and abroad to be related to ischemic optic neuropathy，but its pathogenesis and risk factors are still under exploration. This paper reviews its anatomical ba⁃ sis，pathogenesis，diagnosis，risk factors and prevention strategies at full scale so as to strength the awareness of clinical doctors and help them with preventive strategies for the purpose of preventing the complication.