Palejwala Sheri K, Sheen Whitney A, Walter Christina M, Dunn Jack H, Baaj Ali A
Division of Neurosurgery, University of Arizona Medical Center, 1501 North Campbell Avenue, P.O. Box 2405070, Tucson 85724, USA.
Division of Neurosurgery, University of Arizona Medical Center, 1501 North Campbell Avenue, P.O. Box 2405070, Tucson 85724, USA.
Clin Neurol Neurosurg. 2014 Sep;124:90-6. doi: 10.1016/j.clineuro.2014.06.031. Epub 2014 Jul 1.
We describe 3 patients who presented with radiographic signs and clinical symptoms of adjacent segment disease several years after undergoing L4-S1 posterior pedicle screw fusion. All patients underwent successful lateral lumbar interbody fusion (LLIF) at 1-2 levels above their previous constructs, using stand-alone cages, with complete resolution of radiculopathy and a significant improvement in low-back pain. In addition to a thorough analysis of these cases, we review the pertinent literature regarding treatment options for adjacent segment disease and the applications of the lateral lumbar interbody technique.
我们描述了3例患者，他们在接受L4-S1后路椎弓根螺钉融合术数年之后，出现了相邻节段疾病的影像学表现和临床症状。所有患者均在其先前融合节段上方1-2个节段成功接受了单纯椎间融合器的侧方腰椎椎间融合术（LLIF），神经根病完全缓解，下腰痛显著改善。除了对这些病例进行全面分析外，我们还回顾了有关相邻节段疾病治疗选择以及侧方腰椎椎间融合技术应用的相关文献。
