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Titolo:
VENTRAL FUSION OPERATIONS IN THE LUMBAR SPINE - MICROSURGICAL TECHNIQUES
Autore:
MAYER HM; WIECHERT K;
Indirizzi:
ORTHOPAD KLIN MUNCHEN HARLACHING,WIRBELSAULENZENTRUM,HARLACHINGER STR51 D-81547 MUNICH GERMANY FREE UNIV BERLIN,ORTHOPAD KLIN & POLIKLIN,OSKAR HELENE HEIM D-1000 BERLIN GERMANY
Titolo Testata:
Der Orthopade
fascicolo: 7, volume: 27, anno: 1998,
pagine: 466 - 475
SICI:
0085-4530(1998)27:7<466:VFOITL>2.0.ZU;2-V
Fonte:
ISI
Lingua:
GER
Soggetto:
COMBINED ANTERIOR;
Keywords:
SPINE; ANTERIOR LUMBAR INTERBODY FUSION; MICROSURGERY; LUMBAR INSTABILITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
H.M. Mayer e K. Wiechert, "VENTRAL FUSION OPERATIONS IN THE LUMBAR SPINE - MICROSURGICAL TECHNIQUES", Der Orthopade, 27(7), 1998, pp. 466-475

Abstract

Due to the decreased trauma in anterior as well as posterior surgicalapproaches to the spine, microsurgical techniques have been used morefrequently in recent years. This article describes two new microsurgical techniques to approach the anterior lumbar spine for interbody fusion as part of a posterior-anterior stabilization concept in various diseases like spondylolisthesis, degenerative instability; failed back surgery syndrome, fractures etc. The lumbar segments L 2-5 are approached through a blunt muscle-splitting retroperitoneal technique. The antero-lateral circumference of the motion segment is exposed with a frame-type retractor which is anchored in the adjacent vertebral bodies with anchoring screws. The lumbosacral junction is exposed via a mini-laparotomy using a special soft tissue spreader. Interbody fusion is described with autogeneous bone grafts. Preliminary experience with 83 patients treated between 1995 and 1996 show that peri- and postoperative morbidity is low. Clinical as well as radiological results are comparable to the standard techniques. Spectrum as well as rate of complications so far do not differ from those described in the literature far non-microsurgical approaches.

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Documento generato il 07/08/20 alle ore 20:52:18