Transpsoas Approach Nuances

被引:1
作者
Hlubek, Randall J. [1 ,2 ,3 ]
Eastlack, Robert K. [1 ,2 ]
Mundis, Gregory M., Jr. [1 ,2 ]
机构
[1] Scripps Clin, Dept Orthoped, 10666 North Torrey Pines Rd, La Jolla, CA 92037 USA
[2] San Diego Ctr Spinal Disorders, 6190 Cornerstone, San Diego, CA 92121 USA
[3] Barrow Neurol Inst, Div Neurosurg, 350 W Thomas Rd, Phoenix, AZ 85013 USA
关键词
Lateral lumbar interbody fusion; Transpsoas approach; Adult spinal deformity; Degenerative spine; SPINAL-DEFORMITY-SURGERY; LATERAL INTERBODY FUSION; ANTERIOR COLUMN REALIGNMENT; NONOPERATIVE TREATMENT; RADIOGRAPHIC MEASURE; CORONAL IMBALANCE; SAGITTAL BALANCE; DECISION-MAKING; FEMORAL NERVE; SCOLIOSIS;
D O I
10.1016/j.nec.2018.02.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The transpsoas approach is a powerful tool in correcting adult spinal deformity secondary to the degenerative process. It may be used as a stand-alone construct or in combination with other approaches to correct both coronal and sagittal malalignment. Preoperative planning with careful analysis of full-length 36-in radiographs and an MRI of the lumbar spine is essential in determining the safety and feasibility of this approach. Ultimately the goals of deformity correction must be achieved, and lateral lumbar interbody fusion is a valuable tool that can aid in achieving these goals while minimizing perioperative morbidity.
引用
收藏
页码:407 / +
页数:12
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