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技术说明 - 腰椎侧方入路摘除椎间融合器

Technical Note - Lateral Approach to the Lumbar Spine for the Removal of Interbody Cages.

作者信息

Moisi Marc, Page Jeni, Paulson David, Oskouian Rod J

机构信息

Neurosurgery, Swedish Neuroscience Institute.

Department of Neurosurgery, Swedish Neuroscience Institute.

出版信息

Cureus. 2015 May 11;7(5):e268. doi: 10.7759/cureus.268. eCollection 2015 May.

Abstract

Revision surgery to address the migration or fracture of a lumbar interbody cage can be technically challenging. Scar tissue and fibrosis, among other anatomic barriers, can make removal of the cage a complicated procedure, potentially increasing postoperative pain as well as the probability of neurologic deficits. Use of the lateral surgical technique for removal of the cage can avoid these potential complications. In this case report, we describe the removal of interbody cages through a lateral approach in three patients without the necessity of additional posterior hardware revision.

摘要

翻修手术用于解决腰椎椎间融合器的移位或骨折,在技术上可能具有挑战性。除其他解剖学障碍外,瘢痕组织和纤维化会使椎间融合器的取出成为一个复杂的过程,可能增加术后疼痛以及神经功能缺损的可能性。采用外侧手术技术取出椎间融合器可避免这些潜在并发症。在本病例报告中,我们描述了通过外侧入路为三名患者取出椎间融合器,而无需额外进行后路内固定翻修。

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