Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Neurosurg Spine. 2013 Oct;19(4):502-6. doi: 10.3171/2013.7.SPINE12352. Epub 2013 Aug 16.
The minimally destructive lateral transpsoas approach to the spine has been used in the treatment of various lumbar spinal pathologies. Approach-specific complications have been reported due to the unique surgical corridor and lateral anatomical structures. The authors report a case of complex regional pain syndrome (CRPS) following interbody cage placement utilizing the lateral lumbar transpsoas approach. A review of the literature is discussed. Further clarification of the mechanism of CRPS and its treatments remains crucial for the fine-tuning of novel surgical techniques and complication avoidance during the development of these techniques.
经椎间孔腰椎体间融合术的微创侧方经椎间孔入路已被用于治疗各种腰椎脊柱病变。由于独特的手术通道和侧方解剖结构,该入路有其特有的并发症。作者报告了一例采用腰椎侧方经椎间孔入路行椎间融合器置入术后发生复杂性区域疼痛综合征(CRPS)的病例。并对文献进行了回顾。进一步阐明 CRPS 的发病机制及其治疗方法对于这些技术的发展过程中精细调整新型手术技术和避免并发症至关重要。