如何实施？L5S1（OLIF51）侧方腰椎体间融合术。
How I do it? Oblique lumbar interbody fusion at L5S1(OLIF51).
机构信息
Department of Neurosurgery, The Catholic University of Korea, Seoul St. Mary's Hospital, 222, Banpo-daero, Seocho-gu, Seoul, South Korea.
出版信息
Acta Neurochir (Wien). 2019 Jun;161(6):1079-1083. doi: 10.1007/s00701-019-03918-0. Epub 2019 May 1.
BACKGROUND
OLIF51 retains the advantages of traditional ALIF procedure with good fusion rates and improvement in radiographic parameters and reduces its drawbacks. It has the added advantage of being a minimal access technique.
METHODS
Preoperative analysis of the vascular anatomy using CT angiography is mandatory. OLIF51 is done in right lateral position using specialized retractor blades and Thompson retractor system. The procedure is similar to OLIF at other levels except for the differences described here. The instruments are specialized for OLIF at L5S1.
CONCLUSION
OLIF51 provides an excellent alternative to traditional ALIF.
背景
OLIF51 保留了传统 ALIF 手术的优点，融合率高，影像学参数改善，且降低了其缺点。它还有微创技术的优势。
方法
使用 CT 血管造影术对血管解剖结构进行术前分析是强制性的。OLIF51 在右侧卧位下进行，使用专门的牵开器刀片和汤普森牵开器系统。该手术与其他节段的 OLIF 相似，除了此处描述的差异。器械专门用于 L5S1 的 OLIF。
结论
OLIF51 为传统 ALIF 提供了一个极好的替代方案。
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