Department of Neurosurgery, Georgetown University Hospital, 3800 Reservior Road, 7PHC, Washington, DC 20007, USA.
J Clin Neurosci. 2013 Sep;20(9):1289-94. doi: 10.1016/j.jocn.2012.09.051. Epub 2013 Jul 2.
Diseases that affect the thoracolumbar junction present a unique challenge to the spine surgeon. Various techniques have been described to treat this clinical entity from the anterior, lateral, or posterior direction. These can be associated with significant morbidity due to extensive tissue dissection, blood loss, and postoperative pain leading to a lengthy recovery. The use of a tubular retractor allows the surgeon to minimize tissue dissection and potentially reduce approach-related morbidity while obviating the need for an approach surgeon for exposure. The surgical technique of a minimally invasive lateral approach to the thoracolumbar junction for corpectomy is described in detail and two illustrative patients are presented.
影响胸腰椎交界处的疾病给脊柱外科医生带来了独特的挑战。已经描述了各种技术来从前方、侧方或后方治疗这种临床实体。这些方法可能会导致广泛的组织解剖、大量失血和术后疼痛，从而导致恢复时间延长，从而导致很高的发病率。使用管状牵开器可以使外科医生最大限度地减少组织解剖，并可能降低与入路相关的发病率，同时避免需要入路外科医生进行暴露。详细描述了经微创侧方入路行胸腰椎交界处椎体切除术的手术技术，并介绍了 2 例典型病例。
