Departments of Orthopaedic Surgery (D.J.) and Neurologic Surgery (W.Z.R.), Washington University, St. Louis, Missouri.
Department of Orthopaedic Surgery, Rothman Institute, Philadelphia, Pennsylvania.
JBJS Rev. 2020 Apr;8(4):e0171. doi: 10.2106/JBJS.RVW.19.00171.
Minimally invasive lumbar interbody fusion has had a surge in popularity in the last decade. Minimally invasive surgery (MIS) techniques reduce muscle dissection and soft-tissue disruption, offering faster recovery, reduced blood loss, and shorter hospital stays compared with open techniques. There is, however, a substantial learning curve associated with MIS techniques. MIS approaches to the lumbar spine involve anterior, posterior, and combined options. This article reviews patient selection, techniques, outcomes, and complications of the common MIS approaches, including the MIS posterior approach (a transforaminal lumbar interbody fusion) and 3 MIS anterior approaches (a mini-open anterior lumbar interbody fusion, a lateral lumbar interbody fusion, and an oblique lumbar interbody fusion).
微创腰椎体间融合术在过去十年中得到了广泛的应用。与开放手术相比，微创外科 (MIS) 技术减少了肌肉解剖和软组织损伤，使患者更快康复，出血量更少，住院时间更短。然而，MIS 技术存在相当大的学习曲线。腰椎微创入路包括前路、后路和联合入路。本文综述了常见 MIS 入路的患者选择、技术、结果和并发症，包括 MIS 后路入路（经椎间孔腰椎体间融合术）和 3 种 MIS 前路入路（微创前路腰椎体间融合术、侧方腰椎体间融合术和斜侧方腰椎体间融合术）。
