[腰椎融合术——适应证与技术]
[Lumbar fusion-Indications and techniques].
作者信息
Schnake K J, Rappert D, Storzer B, Schreyer S, Hilber F, Mehren C
机构信息
Zentrum für Wirbelsäulen- und Skoliosetherapie, Schön Klinik Nürnberg Fürth, Europa-Allee 1, 90763, Fürth, Deutschland.
Wirbelsäulenzentrum, Schön Klinik München Harlaching, Harlachinger Str. 51, 81547, München, Deutschland.
出版信息
Orthopade. 2019 Jan;48(1):50-58. doi: 10.1007/s00132-018-03670-w.
BACKGROUND
Lumbar spinal fusion is an established surgical technique in spine surgery. The goal of spinal fusion is a biomechanically lasting interbody union, which can be accomplished through different surgical approaches, implants and grafts.
TECHNIQUES
The mainly surgical techniques used are: posterior lumbar fusion (PLF), posterior interbody lumbar fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), anterior lumbar interbody fusion (ALIF), oblique lumbar interbody fusion (OLIF) and extreme lateral interbody fusion (XLIF). These procedures, their indications, complications and results are described in this narrative review.
背景
腰椎融合术是脊柱外科中一项成熟的手术技术。脊柱融合的目标是实现生物力学上持久的椎间融合，这可以通过不同的手术入路、植入物和移植物来完成。
技术
主要使用的手术技术有：后路腰椎融合术（PLF）、后路腰椎椎间融合术（PLIF）、经椎间孔腰椎椎间融合术（TLIF）、前路腰椎椎间融合术（ALIF）、斜外侧腰椎椎间融合术（OLIF）和极外侧腰椎椎间融合术（XLIF）。本叙述性综述描述了这些手术及其适应证、并发症和结果。
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