Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA.
Neurosurgery. 2010 Mar;66(3 Suppl Operative):13-24; discussion 24-5. doi: 10.1227/01.NEU.0000350866.25760.33.
Intermuscular approaches can expose the lumbar spine and minimize muscular trauma and injury. The segmental anatomy of the posterior lumbar musculature allows surgical access through separation of muscle groups and fascicles and provides one to develop intermuscular working channels while preserving the integrity of the muscles and their function. In addition, preservation of the accompanying neurovascular bundles minimizes blood loss, tissue atrophy, and pain. With these approaches, a variety of procedures for decompression, discectomy, interbody fusion, or pedicle screw fixation can be achieved for single or multiple levels without subperiosteal stripping or muscle transection.
A detailed description of the relevant surgical anatomy for the muscle-sparing approach to the lumbar spine.
肌间隙入路可以显露腰椎，并最大限度减少肌肉创伤和损伤。腰椎后部肌肉的节段解剖允许通过分离肌肉群和束来获得手术入路，并为开发肌间隙工作通道提供便利，同时保持肌肉及其功能的完整性。此外，伴行的神经血管束的保留可最大限度减少出血、组织萎缩和疼痛。通过这些入路，可以在不进行骨膜下剥离或肌肉横断的情况下，对单个或多个节段进行减压、椎间盘切除术、椎间融合或椎弓根螺钉固定等多种手术。
详细描述腰椎肌间隙入路相关的手术解剖。
