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腰椎滑脱症手术治疗的外侧入路

Lateral Approaches for the Surgical Treatment of Lumbar Spondylolisthesis.

作者信息

McGowan Jason E, Kanter Adam S

机构信息

Department of Neurosurgery, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite B400, Pittsburgh, PA 15213, USA.

Department of Neurosurgery, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite B400, Pittsburgh, PA 15213, USA.

出版信息

Neurosurg Clin N Am. 2019 Jul;30(3):313-322. doi: 10.1016/j.nec.2019.02.005.

Abstract

Spondylolisthesis is a common cause of lower back pain in people of all ages. When nonsurgical management is unsuccessful in treatment for lumbar spondylolisthesis, surgical treatment algorithms can be used. This article focuses on lateral lumbar interbody fusion (LLIF). It represents a minimally invasive approach that affords surgeons an increased ability to restore disc height, indirectly decompress the neural elements, and affect global spinal alignment. As the role for circumferential minimally invasive spine surgery continues to expand, the use of LLIF in the setting of spondylolisthesis-and other pathologies-will continue to represent a robust fusion option.

摘要

腰椎滑脱是各年龄段人群下背痛的常见原因。当非手术治疗对腰椎滑脱无效时,可采用手术治疗方案。本文重点介绍腰椎侧方椎间融合术(LLIF)。它是一种微创手术方法,能让外科医生更有效地恢复椎间盘高度、间接减压神经结构并改善整体脊柱排列。随着微创脊柱环切手术的作用不断扩大,LLIF在腰椎滑脱及其他病症中的应用仍将是一种可靠的融合选择。

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