Ohiorhenuan Ifije E, Godzik Jakub, Uribe Juan S
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Oper Neurosurg. 2021 Apr 15;20(5):E369. doi: 10.1093/ons/opaa478.
Lateral lumbar interbody fusion (LLIF) is a widely used technique for anterior fusion. However, posterior decompression or instrumentation often requires repositioning the patient, which increases operative time. This video describes the prone LLIF as a modification of the standard surgical technique. The prone LLIF facilitates simultaneous decompression and fusion, which avoids the need for repositioning the patient, increasing operative efficiency. Positioning, fluoroscopic considerations, and operative nuances involved in performing the LLIF in the prone position are described, and an illustrative case is presented. The patient provided informed consent for the procedure and videography. LLIF in the prone position can decrease operative time and increase operative efficiency. The prone position is a viable alternative to the conventional lateral decubitus position. Video used with permission from Barrow Neurological Institute, Phoenix, Arizona.
腰椎外侧椎间融合术（LLIF）是一种广泛应用的前路融合技术。然而，后路减压或器械操作通常需要重新安置患者体位，这会增加手术时间。本视频介绍了俯卧位LLIF，它是对标准手术技术的一种改良。俯卧位LLIF便于同时进行减压和融合，避免了重新安置患者体位的需要，提高了手术效率。文中描述了俯卧位进行LLIF时的体位摆放、透视要点及手术细节，并展示了一个典型病例。患者已对该手术及摄像给予知情同意。俯卧位LLIF可缩短手术时间并提高手术效率。俯卧位是传统侧卧位的一种可行替代方案。视频经亚利桑那州凤凰城巴罗神经学研究所许可使用。
