微创外侧经腹膜后腰椎侧方入路结合腰大肌牵开技术。六例患者的技术报告和初步结果。
Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients.
机构信息
Department of Neuro-Oncology, H. Lee Moffitt Cancer Center and Research Institute, Morsani College of Medicine, University of South Florida, 12902 Magnolia Drive, Tampa, FL, USA,
出版信息
Eur Spine J. 2013 Sep;22(9):2113-9. doi: 10.1007/s00586-013-2931-1. Epub 2013 Aug 1.
Abstract
PURPOSE
The main aim of this paper was to report reproducible method of lumbar spine access via a lateral retroperitoneal route.
METHODS
The authors conducted a retrospective analysis of the technical aspects and clinical outcomes of six patients who underwent lateral multilevel retroperitoneal interbody fusion with psoas muscle retraction technique. The main goal was to develop a simple and reproducible technique to avoid injury to the lumbar plexus.
RESULTS
Six patients were operated at 15 levels using psoas muscle retraction technique. All patients reported improvement in back pain and radiculopathy after the surgery. The only procedure-related transient complication was weakness and pain on hip flexion that resolved by the first follow-up visit.
CONCLUSIONS
Psoas retraction technique is a reliable technique for lateral access to the lumbar spine and may avoid some of the complications related to traditional minimally invasive transpsoas approach.
摘要
目的
本文的主要目的是报告一种通过侧腹膜后途径进入腰椎的可重复方法。
方法
作者对 6 例接受多节段侧方腹膜后前路融合伴腰大肌牵开技术的患者进行了技术方面和临床结果的回顾性分析。主要目的是开发一种简单且可重复的技术，以避免腰椎丛损伤。
结果
6 例患者在 15 个节段采用腰大肌牵开技术进行手术。所有患者术后腰痛和神经根病均有改善。唯一与手术相关的短暂并发症是髋关节屈曲无力和疼痛，在首次随访时缓解。
结论
腰大肌牵开技术是一种可靠的进入腰椎的侧方方法，可以避免一些与传统微创经腰大肌途径相关的并发症。
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