Ozgur Burak M, Aryan Henry E, Pimenta Luiz, Taylor William R
Department of Neurosurgery, University of California, Irvine Medical Center, 101 The City Drive South Bldg. 56, Ste. 400, Orange, 92868, USA.
Spine J. 2006 Jul-Aug;6(4):435-43. doi: 10.1016/j.spinee.2005.08.012.
Minimally disruptive approaches to the anterior lumbar spine continue to evolve in a quest to reduce approach-related morbidity. A lateral retroperitoneal, trans-psoas approach to the anterior disc space allows for complete discectomy, distraction, and interbody fusion without the need for an approach surgeon.
To demonstrate the feasibility of a minimally disruptive lateral retroperitoneal approach and the advantages to patient recovery.
METHODS/RESULTS: The extreme lateral approach (Extreme Lateral Interbody Fusion [XLIF]) is described in a step-wise manner. There have been no complications thus far in the author's first 13 patients.
The XLIF approach allows for anterior access to the disc space without an approach surgeon or the complications of an anterior intra-abdominal procedure. Longer-term follow-up and data analysis are under way, but initial findings are encouraging.
为降低手术相关并发症的发生率，微创前路腰椎手术方法不断发展。经腰大肌的外侧腹膜后入路可直达椎间盘间隙，无需前路手术医生即可完成椎间盘切除术、撑开以及椎间融合术。
证明微创外侧腹膜后入路的可行性及对患者恢复的益处。
方法/结果：详细逐步描述了极外侧入路（极外侧椎间融合术[XLIF]）。作者的前13例患者目前均未出现并发症。
XLIF入路无需前路手术医生，也不会出现前路腹腔内手术的并发症，即可实现椎间盘间隙的前路显露。正在进行长期随访和数据分析，但初步结果令人鼓舞。
