Department of Neurosurgery, Louisiana State University Health Sciences Center, 2020 Gravier Street, 7th Floor, New Orleans, LA 70120, USA.
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, 505 Parnassus Avenue, Room 779 M, San Francisco, CA 94143, USA.
Neurosurg Clin N Am. 2018 Jul;29(3):419-426. doi: 10.1016/j.nec.2018.02.003.
The prepsoas oblique approach to the lumbar spine provides many similar benefits of the transpsoas lateral approach. Because the psoas is not traversed, however, many of the postoperative complications associated with psoas violation are reduced. Working at an oblique angle to the spine can be challenging and the approach may be unfamiliar for the surgeon. Thais article provides a technical description and nuances of the approach.
腰脊柱的前斜向腰大肌入路提供了与经腰大肌旁入路许多相似的益处。然而,由于不穿过腰大肌,与腰大肌损伤相关的许多术后并发症减少了。以脊柱的斜角工作可能具有挑战性,并且该入路可能对外科医生来说不熟悉。本文提供了该入路的技术描述和细微差别。