Bring aboutPreoperative lumbar spine anterior and lateral radiographs
Jinjiang hospital contacted zhang yuzhu, director of shulan medical consultation. Zhang is a famous expert in spinal surgery from the first affiliated hospital of zhejiang university school of medicine. After detailed analysis of case data, zhang suggested performing oblique lateral lumbar interbody fusion plus posterior lumbar pedicle screw fixation.
Under the guidance of director zhang yuzhu, director wang xudong's team of the second department of bone surgery successfully performed oblique lateral lumbar interbody fusion (olif)+ posterior lumbar pedicle screw fixation system for the patients as planned. This is also the first case of olif operation in our hospital. The day after the operation, the patient could walk on the ground.
Bring aboutPostoperative lumbar spine anterior and lateral radiographs
The power of medical technology can be seen in the relieved smiles of patients and their families. We would also like to express our sincere gratitude to zhang yuzhu and other experts from shulan medical for their strong technical support for the construction of orthopedic department in our hospital. Their exquisite technique and rigorous attitude will surely promote our department of orthopaedics to keep pace with The Times, realize rapid and leap-forward development and benefit the people of jinjiang.
Lumbar interbody fusionInterbody fusion (lif) is a classic operation for the treatment of degenerative disease of the lumbar spine. Anterior lumbar interbody fusion (alif) was the earliest application, while posterior lumbar interbody fusion (plif) was the most classic and widely used. In recent years, with the development of surgical techniques towards precision and minimally invasive, a number of minimally invasive intervertebral fusion surgery methods have emerged, mainly including minimally invasive transforaminal lumbar interbody fusion (mis-tlif), extremely lateral lumbar interbody fusion (xlif) and oblique lateral lumbar interbody fusion (olif).
Various lumbar interbody fusion procedures
Each lumbar fusion approach
Inclined lateral lumbar intervertebral bone graft fusion (oblique has interbody fusion, olif) recently, the international application is more a way of new minimally invasive lumbar spinal fusion surgery. A small incision similar to appThe endicitis operation was made on the side of the abdomen, generally about 5cm. The operation was carried out in this area by placing a working passage between psoas major and abdominal aorta through the intermuscular Spaces of the external oblique, internal oblique and transverse abdominal muscles into the extraperitoneal space.
The advantages of olif
It does not enter the peritoneal cavity, thus greatly reducing the incidence of complications such as abdominal organ injury, peritoneal adhesion and vascular injury.
The operation area is in front of the spinal canal, without exposing the spinal canal, thus avoiding the interference of the spinal membrane and spinal cord in the spinal canal.
During the operation, the facet joint, spinous process, interspinous process ligament and posterior longitudinal ligament were not destroyed, the psoas were not stripped, and the psoas major was not incised. These structures play an important role in maintaining the physiological and mechanical stability of the lumbar spine.
The complication rate of olif nerve injury was low.
Larger intervertebral fusion apparatus can be used to improve the height of intervertebral space and the balance of sagittal position.
The operation time is short, the bleeding is little, the pain is light, the hospitalization time is short, the postoperative recovery is fast.
Indications for olif mainly include
Degenerative lumbar spondylolisthesis, discogenic low back pain, lumbar spinal stenosis, lumbar segmental instability, adjacent segmental degeneration after lumbar surgery, degenerative scoliosis, revision of lumbar surgery, intervertebral infection, trauma, tumor, etc.
Text b b 0 bone 2 family shen zhengqing