外科手术方法和独立侧面跨体体间融合的并发症
Julius Gerstmeyer1, Periklis Godolias2, Thomas A Schildhauer3
1Swedish Neuroscience Institute, Swedish Medical Center; Seattle Science Foundation; Department of Orthopedics and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum; julius@gerstmeyer.net.
Journal of visualized experiments : JoVE
|March 3, 2025
概括
最少侵入性的横向体间融合 (LLIF) 提供有效的腰椎治疗. 本指南详细介绍了单独的横向透过psoas方法,涵盖了其程序,并发症和结果.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 当保守治疗失败时,退行性腰椎病往往需要手术干预.
- 已经出现了像侧侧体间融合 (LLIF) 这样的最小侵入性技术,以减少组织损伤并改善患者的康复.
- 由于其强大的固定,LLIF的适用范围已经扩大到退行性疾病之外,包括脊柱形和狭窄症.
研究的目的:
- 为了提供一个全面的指南,关于独立的横向的跨psoas体间融合.
- 详细说明该技术的指示,手术程序,潜在的并发症和结果.
- 根据十年的单一中心经验提出发现.
主要方法:
- 对腰部内体融合的手术技术的审查,重点是最小侵入性方法.
- 详细描述单独的横向跨psoas体间融合程序.
- 10年来从一个中心分析并发症和结果.
主要成果:
- 侧侧体间融合 (LLIF) 提供了有效的固定,可以通过跨psoas或pre-psoas retroperitoneal走廊进行.
- 与跨psoas路线相比,pre-psoas方法可能会降低腰椎损伤的风险.
- 潜在的并发症包括血管,尿道,肠道和交感损伤,在不同方法之间存在不同的风险.
结论:
- 独立的横向跨psoas体间融合是腰椎病理的一个可行的选择.
- 了解跨-psoas与前-psoas方法的特定风险和益处对于患者选择和手术规划至关重要.
- 长期结果和并发症概况需要继续调查.
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