摘要
腰椎椎体间植骨融合术是治疗腰椎椎间盘退变性疾病(disc degenerative disease,DDD)的经典手术方式,包括后路腰椎椎体间融合术(posterior lumbar interbody fusion,PLIF)、经椎间孔入路腰椎椎体间融合术(transforaminal lumbar interbody fusion,TLIF)、极外侧入路腰椎椎体间融合术(extreme lateral interbody fusion,XLIF)。
Oblique lumbar interbody fusion (OLIF),one of the development directions of minimal invasive spinal surgery in recent years,is a kind of operation through the natural retroperitoneal anatomic space.It wins recognition from surgeons by less damage to muscles and other soft tissues.This paper summarizes its history and feasibility in anatomy and imaging to unveil the latest research progress of bone grafting materials,interbody fusion cages,indications,contraindications,and complications.Good effects on bleeding control,operation time,hospital stay,improvement of dysfunction,slippage reduction,deformity correction and many others were analyzed.Complications including organ injury,ureter injury,large blood vessel injury,sympathetic nerve injury,motor nerve injury,abdominal incision hernia,fat liquefaction,postoperative infection were illustrated.End-plate fracture and dislocation are emphasized.
作者
林云志
方国芳
吴家昌
桑宏勋
LIN Yun-zhi;FANG Guo-fang;WU Jia-chang;SANG Hong-xun(Department of Orthopaedics,Shenzhen Hospital,Southern Medical University,Shenzhen,Guangdong,518100,China)
出处
《中国骨与关节杂志》
CAS
2020年第1期65-69,共5页
Chinese Journal of Bone and Joint
基金
2018年度南方医科大学深圳医院“苗苗”培育计划启动项目资助项目(2018MM13)
关键词
腰椎
椎间盘退行性变
脊柱融合术
最小侵入性外科手术
综述
Lumbar vertebrae
Intervertebral disc degeneration
Spinal fusion
Minimally invasive surgical procedures
Review
