Department of Spine Surgery, The Third Hospital of Hebei Medical University.
Institute for Health Innovation and Technology (iHealthtech), National University of Singapore; Department of Biomedical Engineering, National University of Singapore.
J Vis Exp. 2023 May 5(195). doi: 10.3791/65351.
Lumbar spine diseases often cause lower back pain, lower extremity pain, numbness, and paresthesia. In severe cases, intermittent claudication may occur, affecting the quality of life of patients. Surgery is often required when conservative treatment fails, or when patients' symptoms become unbearable. Surgical treatments include laminectomy and discectomy, as well as interbody fusion. The main purpose of laminectomy and discectomy is to relieve nerve compression; however, recurrence is common due to spinal instability. Interbody fusion improves stability while relieving nerve compression and significantly reduces the risk of recurrence compared to non-fusion surgery. Nonetheless, conventionally posterior intervertebral fusion requires separation of the muscles to expose the operated segment, which causes more trauma to the patient. In contrast, the oblique lateral interbody fusion (OLIF) technique achieves spinal fusion with minimal trauma to the patients and shortens the recovery time. This article introduces procedures of stand-alone OLIF surgery performed in the lumbar spine, providing a reference for other spine surgeons.
腰椎疾病常引起下腰痛、下肢痛、麻木和感觉异常。严重者可出现间歇性跛行，影响患者的生活质量。当保守治疗无效或患者症状无法忍受时，常需手术治疗。手术治疗包括椎板切除术和椎间盘切除术，以及椎间融合术。椎板切除术和椎间盘切除术的主要目的是解除神经压迫，但由于脊柱不稳定，复发较为常见。椎间融合术在缓解神经压迫的同时改善稳定性，与非融合手术相比，显著降低了复发的风险。然而，传统的后路椎体间融合术需要分离肌肉以暴露手术节段，这会给患者带来更大的创伤。相比之下，斜外侧椎间融合术（OLIF）技术对患者创伤较小，实现脊柱融合，并缩短康复时间。本文介绍了腰椎单纯 OLIF 手术的操作步骤，为其他脊柱外科医生提供参考。
