斜侧融合术:实践基础

Clare E. Griffis , Christopher P. Carroll
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引用次数: 0

摘要

通过避免腰肌剥离,斜侧体间融合术(OLIF)为脊柱外科医生提供了腰椎间接减压的安全选择。自1997年描述以来,随着导航和机器人技术的出现,OLIF技术继续扩大其手术适应症。本文将讨论OLIF手术的适应症和禁忌症,同时强调解剖考虑,技术方面,结果和并发症。从退行性颈椎病,到矢状和冠状畸形,可以用OLIF治疗的病理随着人口老龄化而不断发展。终板骨折、下陷和短暂性神经失用是最常见的并发症,总体发生率低于经椎间孔腰椎椎体间融合术(tliff)或后外侧椎体间融合术(PLIF),而且住院时间更短。
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Oblique lateral interbody fusion: The fundamentals for practice

With the avoidance of dissection through the psoas, the oblique lateral interbody fusion (OLIF) offers the spine surgeon a safe option of indirect decompression of the lumbar spine. Described in 1997, the OLIF technique continues to expand its surgical indications with the advent of navigation and robotic technology. This paper will discuss the indications and contraindications of the OLIF procedure while highlighting anatomic considerations, technical aspects, outcomes and complications. From degenerative spondylosis, to sagittal and coronal deformity, the pathology that can be addressed with the OLIF continues to evolve with the aging population. Endplate fracture and subsidence and transient neuropraxias are the most common complications, with an overall rate less than that of transforaminal lumbar interbody fusion (TLIF) or posterolateral interbody fusion (PLIF) with the added benefit of a shorter hospital stay.

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来源期刊
Seminars in Spine Surgery
Seminars in Spine Surgery Medicine-Surgery
CiteScore
0.50
自引率
0.00%
发文量
53
审稿时长
2 days
期刊介绍: Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.
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