安特普索斯靠近腰椎脊柱的位置
Travis S CreveCoeur1, Colin P Sperring1, Anthony M DiGiorgio2
1Department of Neurological Surgery, Neurological Institute of New York, Columbia University College of Physicians and Surgeons, 710 West 168th Street, New York, NY 10033, USA.
Neurosurgery clinics of North America
|September 17, 2023
概括
脊椎体内融合 (LIF) 的前 (ATP) 方法提供了一个安全的替代方案,通过避免肌. 这种技术可能会降低与腰椎损伤相关的神经缺陷的风险.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
背景情况:
- 腰椎间体融合 (LIF) 是用于脊柱疾病的标准手术技术.
- 随着LIF的发展,出现了具有良好结果的微创方法.
- 胸前前 (ATP) 接近通过一个前 (retroperitoneal pathway) 途径进入圆盘空间.
研究的目的:
- 评估ATP方法在腰部内体融合中的安全性和有效性.
- 为了比较ATP方法与Transpsoas方法关于腰椎损伤风险.
主要方法:
- 采用一个回关节路径介质到psoas肌肉.
- 进入L1-S1椎间盘间的空间.
- 避免对psoas肌肉和腰椎的侵犯.
主要成果:
- 通过ATP方法,避免直接接触psoas肌肉和腰椎.
- 这可能会降低神经系统缺陷的风险.
- 该技术旨在安全有效地实现脊柱关节切除.
结论:
- 前向psoas的方法是LIF的一个可行的替代方案.
- 它提供了潜在的减轻腰椎相关的神经并发症.
- 对ATP方法的指示可能会随着安全性和有效性的进一步证据而扩大.
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