Nasca Richard J
Orthopaedic and Spine Surgery, 1912 Verrazzano Drive, Wilmington, NC 28405, USA.
J Surg Orthop Adv. 2013 Summer;22(2):113-7. doi: 10.3113/jsoa.2013.0113.
The purpose of this review is to update the reader on more recent, less invasive lumbar interbody fusion procedures. The article contains a brief history on the development of lumbar interbody fusion methods, as well as the indications and descriptions of the various open and minimally invasive procedures, their complications, and outcomes. In contrast to the more traditional open methods of performing anterior and posterior interbody fusions, surgeons doing the less invasive techniques of transforaminal lumbar interbody fusion, extreme lateral and direct lateral interbody fusion, and the presacral axial approach are reporting less morbidity, shorter hospital stays, high rates of fusion, and improved patient outcomes. Although each technique has a different anatomical plane of approach, the goal is to achieve a solid interbody fusion of the pain generating segment(s) without complications.
本综述的目的是向读者介绍更新的、侵入性较小的腰椎椎间融合手术。本文包含腰椎椎间融合方法发展的简要历史，以及各种开放和微创手术的适应症、描述、并发症和结果。与更传统的进行前路和后路椎间融合的开放方法相比，采用经椎间孔腰椎椎间融合、极外侧和直接外侧椎间融合以及骶前轴向入路等侵入性较小技术的外科医生报告称，发病率较低、住院时间较短、融合率高且患者预后得到改善。尽管每种技术的手术解剖平面不同，但其目标都是在不发生并发症的情况下实现疼痛产生节段的稳固椎间融合。
