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首页> 外文期刊>Neurosurgery >Use of a ventral cervical retractor system for minimal access transforaminal lumbar interbody fusion: technical case report.
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Use of a ventral cervical retractor system for minimal access transforaminal lumbar interbody fusion: technical case report.

机译：腹侧颈椎牵开器系统的使用可减少经孔椎间孔腰椎椎间融合术的使用：技术案例报告。

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OBJECTIVE: Interbody lumbar fusion techniques have become increasingly popular because of improved rates of fusion, restoration of disc and foraminal height, and promotion of lordosis. Morbidity has been associated with the exposure for these fusions, potentially leading to muscle injury, trunk muscle weakness, and pain. Minimal access surgery has been advocated to limit the exposure related morbidity. Tubular retractors are available, which allow dilation of the muscle through a small incision. The downside of these dilators is the expense required to use them and a generally cumbersome design, which can limit mobility and medial/lateral exposure. METHODS: The authors report their experience with a standard ventral cervical retractor system for minimal access transforaminal lumbar interbody fusion. These systems are already owned by the hospital and are familiar to most spine surgeons. RESULTS: The system is placed through a fascial plane between muscles, eliminating muscle dissection and limiting undue retraction and tissue destruction. CONCLUSION: A standard ventral cervical retractor may be used to perform minimal access transforaminal lumbar interbody fusion. The exposure is as good as or better than tubular retractor systems commercially available. There may be considerable cost savings owing to the elimination of the need for yet another specialized piece of equipment in the operating room. Time may also be saved, as spine surgeons are already adept in the use of such retractors.
机译：目的：由于融合率的提高，椎间盘和椎间孔高度的恢复以及脊柱前凸的促进，椎间腰椎融合技术变得越来越流行。发病率与这些融合物的暴露有关，可能导致肌肉受伤，躯干肌无力和疼痛。已提倡进行最小限度的手术以限制与暴露有关的发病率。可以使用管状牵开器，它允许通过小切口扩张肌肉。这些扩张器的缺点是使用它们所需的费用和通常笨重的设计，这会限制活动性和内侧/外侧暴露。方法：作者报告了他们使用标准腹式颈椎牵开器系统的经验，这些系统可最大程度地减少经椎间孔腰椎椎间融合。这些系统已由医院拥有，大多数脊柱外科医生都熟悉。结果：该系统通过肌肉之间的筋膜平面放置，消除了肌肉解剖并限制了不适当的收缩和组织破坏。结论：可使用标准的腹侧颈椎牵开器进行经椎间孔腰椎椎间融合术。暴露程度与市售的管状牵开器系统一样好或更好。由于无需在手术室中再使用另一台专用设备，因此可以节省大量成本。由于脊柱外科医生已经熟练使用这种牵开器，因此还可以节省时间。

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