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L5-S1斜外侧椎间融合手术(OLIF51)的技术与概念综述

Technical and Conceptual Review on the L5-S1 Oblique Lateral Interbody Fusion Surgery (OLIF51).

作者信息

Orita Sumihisa, Shiga Yasuhiro, Inage Kazuhide, Eguchi Yawara, Maki Satoshi, Furuya Takeo, Aoki Yasuchika, Inoue Masahiro, Hynes Richard A, Koda Masao, Takahashi Hiroshi, Akazawa Tsutomu, Nakamura Junichi, Hagiwara Shigeo, Inoue Gen, Miyagi Masayuki, Fujibayashi Shunsuke, Iida Takahiro, Kotani Yoshihisa, Tanaka Masato, Nakajima Takao, Ohtori Seiji

机构信息

Center for Frontier Medical Engineering, Chiba University, Chiba, Japan.

Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.

出版信息

Spine Surg Relat Res. 2020 Jun 18;5(1):1-9. doi: 10.22603/ssrr.2020-0086. eCollection 2021.

Abstract

Lumbar lateral interbody fusion (LLIF) has been gaining popularity among the spine surgeons dealing with degenerative spinal diseases while LLIF on L5-S1 is still challenging for its technical and anatomical difficulty. OLIF51 procedure achieves effective anterior interbody fusion based on less invasive anterior interbody fusion via bifurcation of great vessels using specially designed retractors. The technique also achieves seamless anterior interbody fusion when combined with OLIF25. A thorough understanding of the procedures and anatomical features is mandatory to avoid perioperative complications.

摘要

腰椎外侧椎间融合术(LLIF)在治疗退行性脊柱疾病的脊柱外科医生中越来越受欢迎,而L5-S1节段的LLIF因其技术和解剖学难度仍然具有挑战性。OLIF51手术通过使用专门设计的牵开器对大血管进行分叉,在微创前路椎间融合的基础上实现有效的前路椎间融合。该技术与OLIF25联合使用时,还可实现无缝前路椎间融合。必须全面了解手术过程和解剖特征,以避免围手术期并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f7e3/7870318/a3e1109005b2/2432-261X-5-0001-g001.jpg

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