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微创经腰大肌外侧腹膜后入路行腰椎椎体切除及后路内固定融合术。

Minimally invasive lateral retroperitoneal transpsoas approach for lumbar corpectomy and fusion with posterior instrumentation.

作者信息

Srinivasan Ethan S, Wang Timothy Y, Rapoport Anna, Erickson Melissa M, Abd-El-Barr Muhammad M, Shaffrey Christopher I, Than Khoi D

机构信息

Duke University School of Medicine.

Department of Neurosurgery, Duke University Medical Center; and.

出版信息

Neurosurg Focus Video. 2022 Jul 1;7(1):V7. doi: 10.3171/2022.3.FOCVID2210. eCollection 2022 Jul.


DOI:10.3171/2022.3.FOCVID2210
PMID:36284723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9557348/
Abstract

In this video, the authors highlight the operative treatment of a 55-year-old man with chronic osteomyelitis discitis. The operation entailed a minimally invasive lateral retroperitoneal transpsoas approach for L3 and L4 corpectomies, L2-5 interbody fusion, and L2-5 minimally invasive posterior instrumentation. The operation proceeded in two stages, beginning in the lateral position with corpectomy of the L3 and L4 vertebral bodies and placement of a corpectomy cage. After closure of this access wound, the patient was turned to a prone position for the posterior element of the operation. Posterior instrumentation was placed with pedicle screws at L2 and L5. The video can be found here: https://stream.cadmore.media/r10.3171/2022.3.FOCVID2210.

摘要

在本视频中,作者重点介绍了一名55岁慢性骨髓炎椎间盘炎男性患者的手术治疗。手术采用微创侧方腹膜后经腰大肌入路进行L3和L4椎体切除、L2-5椎间融合以及L2-5微创后路内固定。手术分两个阶段进行,首先患者取侧卧位,切除L3和L4椎体并置入椎体切除融合器。关闭该切口后,患者转为俯卧位进行手术的后路部分。在L2和L5置入椎弓根螺钉进行后路内固定。视频链接如下:https://stream.cadmore.media/r10.3171/2022.3.FOCVID2210 。

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引用本文的文献

[1]
Oblique anterior column realignment with a mini-open posterior column osteotomy for minimally invasive adult spinal deformity correction: illustrative case.

J Neurosurg Case Lessons. 2024-3-11

本文引用的文献

[1]
Minimally invasive lateral corpectomy for thoracolumbar traumatic burst fractures.

Neurosurg Focus. 2020-9

[2]
Quality of life and mortality after surgical treatment for vertebral osteomyelitis (VO): a prospective study.

Eur Spine J. 2021-6

[3]
An anatomical study of the lumbosacral plexus as related to the minimally invasive transpsoas approach to the lumbar spine.

J Neurosurg Spine. 2009-2

[4]
Corpectomy followed by the placement of instrumentation with titanium cages and recombinant human bone morphogenetic protein-2 for vertebral osteomyelitis.

J Neurosurg Spine. 2007-1

[5]
Titanium cages in the surgical treatment of severe vertebral osteomyelitis.

Eur Spine J. 2003-12

[6]
Vertebral osteomyelitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals.

Clin Infect Dis. 2002-5-15

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