Department of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 350 West Thomas Road, Phoenix, AZ 85013, USA.
Department of Neurosurgery and Brain Repair, University of South Florida, 2 Tampa General Circle, Tampa, FL 33606, USA.
Neurosurg Clin N Am. 2018 Jul;29(3):427-437. doi: 10.1016/j.nec.2018.03.008.
Lateral anterior column release (ACR) is a powerful extension of the minimally invasive lateral lumbar interbody fusion procedure that incorporates division of the anterior longitudinal ligament to allow manipulation of the anterior and middle spinal columns. The resulting surgical control permits restoration of significant segmental lordosis that, when combined with varying posterior column releases, can achieve global sagittal realignment on par with traditional 3-column osteotomies. As a result, ACR is a factor in the growth of minimally invasive strategies for the correction of spinal deformities.
侧前方柱释放术(ACR)是微创侧方腰椎椎间融合术的有力延伸,该术式包括前纵韧带的切开,以允许对前柱和中柱进行操作。由此产生的手术控制可恢复显著的节段性前凸,与不同的后柱释放相结合,可实现与传统三柱截骨术相当的整体矢状面矫正。因此,ACR 是微创策略治疗脊柱畸形的增长因素。