直接外侧入路腰椎和胸腰椎融合术：初步结果。
Direct lateral access lumbar and thoracolumbar fusion: preliminary results.
机构信息
IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
出版信息
Eur Spine J. 2012 May;21 Suppl 1(Suppl 1):S37-42. doi: 10.1007/s00586-012-2217-z. Epub 2012 Mar 9.
Abstract
PURPOSE
To describe the clinical outcomes and complications in a consecutive series of extreme lateral interbody fusion cases.
METHODS
Retrospective cohort review of 97 consecutive patients from three centers with minimum 6-month follow-up (mean 12 months). Functional status was evaluated by preoperative and last follow-up Oswestry Disability Index score. Leg and back pain were evaluated by visual analog scales. Complications were recorded and permanent complications and neurological impairment was actively investigated at last follow-up.
RESULTS
No permanent neurological impairment, vascular or visceral injuries were observed. Transient neurological symptoms presented in 7% of cases, all resolved within 1 month from surgery. Transient thigh discomfort was observed in 9%. Clinical success was recorded in 92% of cases.
CONCLUSIONS
Extreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.
摘要
目的
描述一系列连续的极外侧椎间融合病例的临床结果和并发症。
方法
对来自三个中心的 97 例连续患者进行回顾性队列研究，随访时间至少为 6 个月（平均 12 个月）。功能状态通过术前和最后随访时的 Oswestry 残疾指数评分进行评估。腿部和背部疼痛通过视觉模拟评分进行评估。记录并发症，并在最后随访时主动调查永久性并发症和神经损伤。
结果
未观察到永久性神经损伤、血管或内脏损伤。7%的病例出现一过性神经症状，所有症状均在术后 1 个月内缓解。9%的病例出现一过性大腿不适。92%的病例获得临床成功。
结论
极外侧椎间融合是一种安全有效的前路椎间融合技术。
相似文献
1
Direct lateral access lumbar and thoracolumbar fusion: preliminary results.直接外侧入路腰椎和胸腰椎融合术：初步结果。
Eur Spine J. 2012 May;21 Suppl 1(Suppl 1):S37-42. doi: 10.1007/s00586-012-2217-z. Epub 2012 Mar 9.
2
Utility of multilevel lateral interbody fusion of the thoracolumbar coronal curve apex in adult deformity surgery in combination with open posterior instrumentation and L5-S1 interbody fusion: a case-matched evaluation of 32 patients.胸腰段冠状面弯曲顶点多级外侧椎间融合术在成人脊柱畸形手术中联合开放后路内固定及L5-S1椎间融合的效用：32例病例匹配评估
J Neurosurg Spine. 2017 Feb;26(2):208-219. doi: 10.3171/2016.8.SPINE151543. Epub 2016 Oct 21.
3
Radiological and clinical outcomes following extreme lateral interbody fusion.极外侧椎间融合术后的放射学和临床结果。
J Neurosurg Spine. 2014 Jun;20(6):623-35. doi: 10.3171/2014.1.SPINE13569. Epub 2014 Apr 4.
4
Lateral interbody fusion combined with open posterior surgery for adult spinal deformity.外侧椎间融合联合开放后路手术治疗成人脊柱畸形
J Neurosurg Spine. 2016 Dec;25(6):697-705. doi: 10.3171/2016.4.SPINE16157. Epub 2016 Jun 24.
5
Minimally invasive lateral interbody fusion for the treatment of rostral adjacent-segment lumbar degenerative stenosis without supplemental pedicle screw fixation.微创外侧椎间融合术治疗无附加椎弓根螺钉固定的上位相邻节段腰椎退变性狭窄症
J Neurosurg Spine. 2014 Dec;21(6):861-6. doi: 10.3171/2014.8.SPINE13841. Epub 2014 Oct 10.
6
Minimally invasive or open transforaminal lumbar interbody fusion as revision surgery for patients previously treated by open discectomy and decompression of the lumbar spine.微创或开放经椎间孔腰椎体间融合术作为既往行开放椎间盘切除术和腰椎减压术治疗的患者的翻修手术。
Eur Spine J. 2011 Apr;20(4):623-8. doi: 10.1007/s00586-010-1578-4. Epub 2010 Oct 8.
7
Early outcomes and safety of the minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis.微创经侧方腹膜后经椎间孔入路治疗成人退行性脊柱侧凸的早期结果和安全性。
Neurosurg Focus. 2010 Mar;28(3):E8. doi: 10.3171/2010.1.FOCUS09282.
8
Long-term durability of minimal invasive posterior transforaminal lumbar interbody fusion: a clinical and radiographic follow-up.微创后路经椎间孔腰椎椎间融合术的长期耐久性：临床及影像学随访
J Spinal Disord Tech. 2011 Jul;24(5):288-96. doi: 10.1097/BSD.0b013e3181f9a60a.
9
The anterior-to-psoas approach for interbody fusion at the L5-S1 segment: clinical and radiological outcomes.前路腰大肌前方入路行 L5-S1 节段椎体间融合：临床与影像学结果。
Neurosurg Focus. 2020 Sep;49(3):E14. doi: 10.3171/2020.6.FOCUS20335.
10
Minimally invasive lumbar transfacet screw fixation in the lateral decubitus position after extreme lateral interbody fusion: a technique and feasibility study.极外侧椎间融合术后侧卧位微创腰椎经关节突螺钉固定：一项技术与可行性研究
J Spinal Disord Tech. 2013 Apr;26(2):98-106. doi: 10.1097/BSD.0b013e318241f6c3.
引用本文的文献
1
Indications, complications and outcomes of minimally-invasive lateral lumbar interbody fusion with anterior column realignment vs. standard LLIF using expandable interbody spacers.采用可扩张椎间融合器的微创外侧腰椎椎间融合术联合前柱重建与标准腰椎外侧椎间融合术的适应症、并发症及疗效
Front Surg. 2024 Dec 9;11:1455445. doi: 10.3389/fsurg.2024.1455445. eCollection 2024.
2
Comparison between oblique lumbar interbody fusion and posterior lumbar interbody fusion for the treatment of lumbar degenerative diseases: a systematic review and meta-analysis.斜外侧腰椎间融合术与后路腰椎间融合术治疗腰椎退行性疾病的比较：系统评价和荟萃分析。
J Orthop Surg Res. 2023 Nov 10;18(1):856. doi: 10.1186/s13018-023-04312-4.
3
An evaluation of patients with abdominal pain after lateral lumbar interbody fusion.腰椎侧方椎间融合术后腹痛患者的评估
J Craniovertebr Junction Spine. 2022 Jul-Sep;13(3):325-330. doi: 10.4103/jcvjs.jcvjs_82_22. Epub 2022 Sep 14.
4
When to Consider Stand-Alone Lateral Lumbar Interbody Fusion: Is There a Role for a Comeback With New Implants?何时考虑单独进行腰椎侧方椎间融合术：新型植入物能否使其卷土重来？
Int J Spine Surg. 2022 Apr;16(S1):S69-S75. doi: 10.14444/8238.
5
The usefulness and safety of the simultaneous parallel anterior and posterior combined lumbar spine surgery using intraoperative 3D fluoroscopy-based navigation (SPAPS).使用术中基于3D透视导航的同时并行前路和后路联合腰椎手术（SPAPS）的有效性和安全性。
N Am Spine Soc J. 2020 Dec 23;5:100047. doi: 10.1016/j.xnsj.2020.100047. eCollection 2021 Mar.
6
Efficacy and radiographic analysis of oblique lumbar interbody fusion in treating adult spinal deformity.斜向腰椎间融合术治疗成人脊柱畸形的疗效和影像学分析。
PLoS One. 2021 Sep 10;16(9):e0257316. doi: 10.1371/journal.pone.0257316. eCollection 2021.
7
Peri-Surgical Inflammatory Profile Associated with Mini-Invasive or Standard Open Lumbar Interbody Fusion Approaches.与微创或标准开放腰椎椎间融合术相关的围手术期炎症指标
J Clin Med. 2021 Jul 15;10(14):3128. doi: 10.3390/jcm10143128.
8
Extreme Lateral Interbody Fusion for Thoracic and Thoracolumbar Disease: The Diaphragm Dilemma.用于胸段和胸腰段疾病的极外侧椎间融合术：膈肌难题
Global Spine J. 2021 May;11(4):515-524. doi: 10.1177/2192568220914883. Epub 2020 Mar 27.
9
An In Vitro Biomechanical Evaluation of a Lateral Lumbar Interbody Fusion Device With Integrated Lateral Modular Plate Fixation.一种带有集成外侧模块化钢板固定的腰椎椎间融合器的体外生物力学评估
Global Spine J. 2021 Apr;11(3):351-358. doi: 10.1177/2192568220905611. Epub 2020 Feb 20.
10
Prone single-position extreme lateral interbody fusion (Pro-XLIF): preliminary results.俯卧位单节段极外侧椎间融合术（Pro-XLIF）：初步结果。
Eur Spine J. 2020 Feb;29(Suppl 1):6-13. doi: 10.1007/s00586-020-06303-z. Epub 2020 Jan 28.
本文引用的文献
1
Minimally invasive lateral transpsoas approach with advanced neurophysiologic monitoring for lumbar interbody fusion.采用先进神经生理监测的微创经腰大肌外侧入路用于腰椎椎间融合术。
Eur Spine J. 2011 Sep;20(9):1584-6. doi: 10.1007/s00586-011-1997-x.
2
Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases.极外侧椎间融合术中及术后早期并发症：600 例分析。
Spine (Phila Pa 1976). 2011 Jan 1;36(1):26-32. doi: 10.1097/BRS.0b013e3181e1040a.
3
Dynamically evoked, discrete-threshold electromyography in the extreme lateral interbody fusion approach.动态诱发、离散阈值肌电图在极外侧椎间融合术中的应用。
J Neurosurg Spine. 2011 Jan;14(1):31-7. doi: 10.3171/2010.9.SPINE09871. Epub 2010 Dec 17.
4
Electromyographic monitoring and its anatomical implications in minimally invasive spine surgery.肌电图监测及其在微创脊柱手术中的解剖学意义。
Spine (Phila Pa 1976). 2010 Dec 15;35(26 Suppl):S368-74. doi: 10.1097/BRS.0b013e3182027976.
5
Minimally invasive surgery: lateral approach interbody fusion: results and review.微创外科：侧方入路椎间融合术：结果与综述。
Spine (Phila Pa 1976). 2010 Dec 15;35(26 Suppl):S302-11. doi: 10.1097/BRS.0b013e3182023438.
6
An analysis of the differences in the acute hospitalization charges following minimally invasive versus open posterior lumbar interbody fusion.微创与开放后路腰椎体间融合术后急性住院费用差异分析。
J Neurosurg Spine. 2010 Jun;12(6):694-9. doi: 10.3171/2009.12.SPINE09621.
7
Mid-term to long-term clinical and functional outcomes of minimally invasive correction and fusion for adults with scoliosis.微创矫正和融合治疗成人脊柱侧凸的中期至长期临床和功能结果。
Neurosurg Focus. 2010 Mar;28(3):E6. doi: 10.3171/2010.1.FOCUS09272.
8
Lumbar fusion outcomes stratified by specific diagnostic indication.根据特定诊断指征分层的腰椎融合术结果。
Spine J. 2009 Jan-Feb;9(1):13-21. doi: 10.1016/j.spinee.2008.08.011. Epub 2008 Sep 19.
9
Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion.极外侧椎间融合术（XLIF）：一种用于腰椎前路椎间融合的新型手术技术。
Spine J. 2006 Jul-Aug;6(4):435-43. doi: 10.1016/j.spinee.2005.08.012.
10
The Lumbar I/F Cage for posterior lumbar interbody fusion with the variable screw placement system: 10-year results of a Food and Drug Administration clinical trial.用于后路腰椎椎间融合术的带可变螺钉置入系统的腰椎I/F椎间融合器：美国食品药品监督管理局一项临床试验的10年结果
Spine J. 2004 Nov-Dec;4(6):681-8. doi: 10.1016/j.spinee.2004.05.253.
Zotero 插件