Zakko Philip, Whaley James D, Preston Gordon, Park Daniel K
Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, Michigan, USA
Department of Orthopaedic Surgery, Beaumont Health, Royal Oak, Michigan, USA.
Int J Spine Surg. 2022 Apr;16(S1):S53-S60. doi: 10.14444/8236.
Lateral lumbar interbody fusion (LLIF) has paved a way for minimally invasive surgical treatment of a wide variety of spine pathologies. Interbody devices are used to stabilize painful disc levels, provide indirect decompression of neural elements, correct deformity, restore lordosis, and provide a sound durable fusion. Through the years, new static and expandable interbody devices have been developed in an attempt to improve radiographic and clinical outcomes in lumbar spine surgery. The purpose of this article is to explore the advantages and disadvantages between static and expandable interbody devices when used in LLIF. Specifically, this article addresses the differences in subsidence, indirect decompression, restoration of lumbar lordosis, complications, patient-reported outcomes, and cost between static and expandable interbody devices.
腰椎侧方椎间融合术（LLIF）为多种脊柱疾病的微创手术治疗开辟了道路。椎间融合器用于稳定疼痛的椎间盘节段，间接减压神经结构，矫正畸形，恢复前凸，并实现稳固持久的融合。多年来，新型的静态和可扩张椎间融合器不断研发，旨在改善腰椎手术的影像学和临床疗效。本文旨在探讨静态和可扩张椎间融合器在LLIF中应用的优缺点。具体而言，本文阐述了静态和可扩张椎间融合器在沉降、间接减压、腰椎前凸恢复、并发症、患者报告结局及成本方面的差异。
