包括经椎间孔腰椎椎间融合术在内的微创脊柱手术后并发症的系统评价。
A Systematic Review of Complications Following Minimally Invasive Spine Surgery Including Transforaminal Lumbar Interbody Fusion.
作者信息
Weiss Hannah, Garcia Roxanna M, Hopkins Ben, Shlobin Nathan, Dahdaleh Nader S
机构信息
Department of Neurosurgery, Northwestern University, 676 N Saint Clair, NMH/Arkes Family Pavilion Suite 2210, Chicago, IL, 60611, USA.
Institute for Public Health and Medicine (IPHAM), Center for Healthcare Studies, Northwestern University, Chicago, IL, USA.
出版信息
Curr Rev Musculoskelet Med. 2019 Jul 13;12(3):328-339. doi: 10.1007/s12178-019-09574-2.
Abstract
PURPOSE OF REVIEW
To assess complications after minimally invasive spinal surgeries including transforaminal lumbar interbody fusion (MI-TLIF) by reviewing the most recent literature.
RECENT FINDINGS
Current literature demonstrates that minimally invasive surgery (MIS) in spine has improved clinical outcomes and reduced complications when compared with open spinal procedures. Recent studies describing MI-TLIF primarily for degenerative disk disease, spondylolisthesis, and vertebral canal stenosis cite over 89 discrete complications, with the most common being radiculitis (ranging from 2.8 to 57.1%), screw malposition (0.3-12.7%), and incidental durotomy (0.3-8.6%). Minimally invasive spine surgery has a distinct set of complications in comparison with other spinal procedures. These complications vary based on the exact MIS procedure and indication. The most frequently documented MI-TLIF complications in current published literature were radiculitis, screw malposition, and incidental durotomy.
摘要
综述目的
通过回顾最新文献，评估包括经椎间孔腰椎椎体间融合术（MI-TLIF）在内的微创脊柱手术后的并发症。
最新发现
当前文献表明，与开放性脊柱手术相比，脊柱微创手术（MIS）改善了临床疗效并减少了并发症。近期主要针对退行性椎间盘疾病、椎体滑脱和椎管狭窄描述MI-TLIF的研究列举了超过89种不同的并发症，最常见的是神经根炎（发生率为2.8%至57.1%）、螺钉位置不当（0.3%至12.7%）和意外硬脊膜切开（0.3%至8.6%）。与其他脊柱手术相比，微创脊柱手术有一系列独特的并发症。这些并发症因具体的MIS手术和适应证而异。当前已发表文献中记录最频繁的MI-TLIF并发症是神经根炎、螺钉位置不当和意外硬脊膜切开。
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