Salzmann Stephan N, Shue Jennifer, Hughes Alexander P
Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, New York, NY, 10021, USA.
Curr Rev Musculoskelet Med. 2017 Dec;10(4):539-546. doi: 10.1007/s12178-017-9444-1.
Lateral lumbar interbody fusion (LLIF) is a relatively new, minimally invasive technique for interbody fusion. The goal of this review is to provide a general overview of LLIF with a special focus on outcomes and complications.
Since the first description of the technique in 2006, the indications for LLIF have expanded and the rate of LLIF procedures performed in the USA has increased. LLIF has several theoretical advantages compared to other approaches including the preservation of the anterior and posterior annular/ligamentous structures, insertion of wide cages resting on the dense apophyseal ring bilaterally, and augmentation of disc height with indirect decompression of neural elements. Favorable long-term outcomes and a reduced risk of visceral/vascular injuries, incidental dural tears, and perioperative infections have been reported. However, approach-related complications such as motor and sensory deficits remain a concern. In well-indicated patients, LLIF can be a safe procedure used for a variety of indications.
腰椎侧方椎间融合术（LLIF）是一种相对较新的微创椎间融合技术。本综述的目的是对LLIF进行总体概述，特别关注其疗效和并发症。
自2006年首次描述该技术以来，LLIF的适应证有所扩大，在美国实施的LLIF手术率有所增加。与其他方法相比，LLIF具有几个理论上的优势，包括保留前后环形/韧带结构、在双侧致密的骨突环上植入宽融合器以及通过间接减压神经元件增加椎间盘高度。已报道了良好的长期疗效以及降低了内脏/血管损伤、意外硬脊膜撕裂和围手术期感染的风险。然而，诸如运动和感觉功能障碍等与手术入路相关的并发症仍然令人担忧。在适应证明确的患者中，LLIF可以是一种用于多种适应证的安全手术。
