Department of Orthopaedics, The Warren Alpert Medical School, Brown University, Providence, RI, USA.
J Am Acad Orthop Surg. 2011 May;19(5):251-8. doi: 10.5435/00124635-201105000-00002.
The incidence of anterior lumbar surgery is increasing. Although adverse events are uncommon, several have been described. Complications can be categorized based on the time of occurrence (ie, intraoperative, postoperative), patient positioning, surgical exposure, and spinal procedure. Notable approach-related complications involve vascular, visceral, and neural structures. Abdominal complications have been reported. Clinically significant complications related to spinal decompression and reconstruction consist primarily of neurologic injuries and graft- and device-related problems. The rate of complications is higher in the setting of revision anterior surgery than with initial anterior lumbar surgery. A thorough understanding of the complications associated with anterior lumbar surgery will aid in prevention, recognition, and management of these rare problems. The assistance of a vascular, neurologic, or general surgeon may be helpful in avoiding or effectively managing complications.
前路腰椎手术的发病率正在增加。尽管不良事件并不常见，但也有一些已被描述。并发症可以根据发生的时间（即术中、术后）、患者体位、手术暴露和脊柱手术进行分类。值得注意的与入路相关的并发症涉及血管、内脏和神经结构。已报道腹部并发症。与脊柱减压和重建相关的临床显著并发症主要包括神经损伤以及移植物和器械相关问题。在翻修前路手术中，并发症的发生率高于初次前路腰椎手术。充分了解前路腰椎手术相关并发症有助于预防、识别和处理这些罕见问题。血管外科、神经外科或普通外科医生的协助可能有助于避免或有效处理并发症。
