经皮椎弓根螺钉固定侧方腰椎体间融合术治疗腰椎滑脱的解剖复位：术中技术要点。
Anatomical Reduction of Spondylolisthesis Through Lateral Lumbar Interbody Fusion With Percutaneous Pedicle Screw Fixation: An Intraoperative Technical Note.
机构信息
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
出版信息
World Neurosurg. 2024 Sep;189:70-76. doi: 10.1016/j.wneu.2024.05.162. Epub 2024 May 31.
BACKGROUND
Surgical management of lumbar spondylolisthesis requires neural decompression, stabilization, and alignment restoration. Minimally invasive spine approaches offer a wide variety of advantages for spondylolisthesis management. This intraoperative note describes the treatment of L4-L5 lumbar spondylolisthesis with lateral lumbar interbody fusion (LLIF) and percutaneous pedicle screw fixation (PSF).
METHODS
The surgical technique for treating L4-L5 lumbar spondylolisthesis using a minimally invasive approach with LLIF and percutaneous PSF is described. This operative technique is illustrated with figures, and an intraoperative case example of its application is described.
RESULTS
LLIF with percutaneous PSF can be a safe, effective, and reliable option for treating lumbar spondylolisthesis when applied with appropriate surgical technique in a selected patient population. This technique is a valuable addition to the range of available spine surgical options.
CONCLUSIONS
LLIF with percutaneous PSF can be an effective technique for treating lumbar L4-L5 spondylolisthesis.
背景
腰椎滑脱的手术治疗需要神经减压、稳定和对线恢复。微创脊柱方法为滑脱的治疗提供了广泛的优势。术中记录描述了采用侧路腰椎椎间融合术（LLIF）和经皮椎弓根螺钉固定术（PSF）治疗 L4-L5 腰椎滑脱。
方法
描述了采用微创方法治疗 L4-L5 腰椎滑脱的手术技术，包括 LLIF 和经皮 PSF。该手术技术通过图片进行了说明，并描述了其在应用中的一个术中病例示例。
结果
当在合适的患者人群中应用适当的手术技术时，LLIF 联合经皮 PSF 治疗腰椎滑脱是一种安全、有效和可靠的选择。该技术是现有脊柱手术选择范围的有益补充。
结论
LLIF 联合经皮 PSF 是治疗腰椎 L4-L5 滑脱的有效技术。
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