PDF(Pubmed)
Abstract：
UNASSIGNED: Adjacent segment disease (ASD) is a late complication of lumbar fusion characterized by persistent symptoms correlating to radiographic changes in the levels immediately above or below the prior fusion. Lateral interbody fusion (LIF) through a direct lateral approach is a minimally invasive and effective surgical treatment for ASD. Biomechanically, LIF for ASD provides significantly decreased motion in multiple planes. While hardware failure and injury to the lumbar plexus are potential complications, these risks may be outweighed by decreased blood loss, shorter operating room (OR) times, and possibly superior patient reported visual analog scale (VAS) scores compared to traditional posterior spinal fusion (PSF) alone. The purpose of this review is to summarize the history, uses, outcomes, and future directions of LIF for ASD.
UNASSIGNED: A review of national databases (PubMed and SCOPUS) was performed using literature from 1900 to 2022. Keywords included terms \"LATERAL\" and \"LUMBAR\" and \"INTERBODY\" and \"FUSION\" and \"ADJACENT\" and \"SEGMENT\" and \"DISEASE\". Studies that aimed to describe the biomechanical, clinical course and complications, radiological outcomes, biomechanical aspects, need for revision surgery, and/or patient reported outcomes of the XLIF/LIF technique were included.
UNASSIGNED: This review includes a brief overview of the natural history of ASD and current approaches to address it. It then summarizes the main indications and utilization of LIF to address ASD, summarizing reported outcomes in regard to biomechanical, clinical, and radiographic outcomes.
UNASSIGNED: LIF has emerged as a minimally invasive and effective surgical treatment for ASD. This mini-review suggests that LIF provides a solid foundational biomechanical construct that has been paired with good patient-reported, clinical, and radiographic outcomes. While further research is required, current literature suggests that LIF for ASD results in fewer complications, decreased morbidity, and decreased need for subsequent surgery compared to other commonly utilized techniques.
UNASSIGNED: A review of national databases (PubMed and SCOPUS) was performed using literature from 1900 to 2022. Keywords included terms \"LATERAL\" and \"LUMBAR\" and \"INTERBODY\" and \"FUSION\" and \"ADJACENT\" and \"SEGMENT\" and \"DISEASE\". Studies that aimed to describe the biomechanical, clinical course and complications, radiological outcomes, biomechanical aspects, need for revision surgery, and/or patient reported outcomes of the XLIF/LIF technique were included.
UNASSIGNED: This review includes a brief overview of the natural history of ASD and current approaches to address it. It then summarizes the main indications and utilization of LIF to address ASD, summarizing reported outcomes in regard to biomechanical, clinical, and radiographic outcomes.
UNASSIGNED: LIF has emerged as a minimally invasive and effective surgical treatment for ASD. This mini-review suggests that LIF provides a solid foundational biomechanical construct that has been paired with good patient-reported, clinical, and radiographic outcomes. While further research is required, current literature suggests that LIF for ASD results in fewer complications, decreased morbidity, and decreased need for subsequent surgery compared to other commonly utilized techniques.
摘要：
■相邻节段疾病（ASD）是腰椎融合的晚期并发症，其特征是与先前融合上方或下方的放射学水平变化相关的持续症状。通过直接外侧入路的外侧椎间融合术（LIF）是ASD的微创有效手术治疗方法。生物力学,用于ASD的LIF在多个平面中提供显著减少的运动。虽然硬件故障和腰丛损伤是潜在的并发症，这些风险可能会被失血减少所抵消，较短的手术室（或）时间，与传统的后路脊柱融合术（PSF）相比，患者报告的视觉模拟量表（VAS）评分可能更高。这篇综述的目的是总结历史，uses,结果，以及ASDLIF的未来方向。
■使用1900年至2022年的文献对国家数据库（PubMed和SCOPUS）进行了审查。关键词包括术语“横向”和“LUMBAR”和“内部”和“融合”和“相邻”和“段”和“疾病”。旨在描述生物力学的研究，临床过程和并发症，放射学结果，生物力学方面，需要翻修手术，和/或患者报告的XLIF/LIF技术结果被纳入.
■这篇综述简要概述了ASD的自然历史和当前解决该问题的方法。然后总结了LIF解决ASD的主要适应症和利用情况，总结生物力学方面的报告结果，临床,和射线照相结果。
■LIF已成为ASD的微创有效手术治疗方法。这个小型审查表明，LIF提供了一个坚实的基础生物力学结构，已经与良好的患者报告，临床,和射线照相结果。虽然需要进一步的研究，目前的文献表明，LIF用于ASD导致更少的并发症，发病率降低，与其他常用技术相比，对后续手术的需求减少。
■使用1900年至2022年的文献对国家数据库（PubMed和SCOPUS）进行了审查。关键词包括术语“横向”和“LUMBAR”和“内部”和“融合”和“相邻”和“段”和“疾病”。旨在描述生物力学的研究，临床过程和并发症，放射学结果，生物力学方面，需要翻修手术，和/或患者报告的XLIF/LIF技术结果被纳入.
■这篇综述简要概述了ASD的自然历史和当前解决该问题的方法。然后总结了LIF解决ASD的主要适应症和利用情况，总结生物力学方面的报告结果，临床,和射线照相结果。
■LIF已成为ASD的微创有效手术治疗方法。这个小型审查表明，LIF提供了一个坚实的基础生物力学结构，已经与良好的患者报告，临床,和射线照相结果。虽然需要进一步的研究，目前的文献表明，LIF用于ASD导致更少的并发症，发病率降低，与其他常用技术相比，对后续手术的需求减少。
