シングルポジショニング側方腰椎後方固定術における最適な体位
Worawat Limthongkul1,2, Natavut Prasertkul1, Pakawas Praisarnti1
1Department of Orthopaedic Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Neurospine
|February 10, 2026
まとめ
右側臥位における股関節屈曲は、腰椎前弯と骨盤のアライメントを著しく変化させる。右股関節屈曲30°、左股関節ニュートラル位が、最小侵襲脊椎手術において立位アライメントに最も近い。
背景:
- 最小侵襲脊椎手術では、右側臥位(RLDP)がしばしば用いられる。
- RLDPにおける生理的な腰椎および骨盤のアライメントの維持は、手術成績にとって重要である。
- RLDPにおける脊椎骨盤パラメータに対する股関節位置の変化の影響を定量化する必要がある。
結論:
- 股関節の位置は、RLDP中の腰椎および骨盤のアライメントに決定的な影響を与える。
- 30FN股関節構成は、RLDPにおける立位アライメントおよび脊椎骨盤の調和に最も近い近似を提供する。
- この所見は、側方腰椎後方固定術における患者体位の最適化にとって重要である。
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