经椎间孔入路的细节问题。

Transpsoas Approach Nuances.

机构信息

Department of Orthopedics, Scripps Clinic, 10666 North Torrey Pines Road, La Jolla, CA 92037, USA; San Diego Center for Spinal Disorders, 6190 Cornerstone, San Diego, CA 92121, USA; Division of Neurosurgery, Barrow Neurological Institute, 350 W Thomas Road, Phoenix, AZ 85013, USA.

Department of Orthopedics, Scripps Clinic, 10666 North Torrey Pines Road, La Jolla, CA 92037, USA; San Diego Center for Spinal Disorders, 6190 Cornerstone, San Diego, CA 92121, USA.

出版信息

Neurosurg Clin N Am. 2018 Jul;29(3):407-417. doi: 10.1016/j.nec.2018.02.002. Epub 2018 Apr 26.

DOI:10.1016/j.nec.2018.02.002

PMID:29933808

Abstract

The transpsoas approach is a powerful tool in correcting adult spinal deformity secondary to the degenerative process. It may be used as a stand-alone construct or in combination with other approaches to correct both coronal and sagittal malalignment. Preoperative planning with careful analysis of full-length 36-in radiographs and an MRI of the lumbar spine is essential in determining the safety and feasibility of this approach. Ultimately the goals of deformity correction must be achieved, and lateral lumbar interbody fusion is a valuable tool that can aid in achieving these goals while minimizing perioperative morbidity.

摘要

经椎间孔入路是治疗退行性病变导致的成人脊柱畸形的有效手段。它可单独使用，也可与其他方法联合使用，矫正冠状面和矢状面的畸形。术前需仔细分析全长 36 英寸 X 线片和腰椎 MRI，做好规划，这对于确定该入路的安全性和可行性至关重要。最终，必须实现畸形矫正的目标，而侧方腰椎椎间融合术是一种有价值的工具，可在尽量减少围手术期发病率的同时，帮助实现这些目标。