警告:請(qǐng)?jiān)谟蠾IFI的場(chǎng)所觀看視頻,土豪請(qǐng)隨意。
Anterior Lumbar Interbody Fusion (ALIF)
前路腰椎椎間融合術(shù)
Introduction (介紹)
An anterior lumbar interbody fusion (ALIF) is performed to remove a large portion of a degenerated disc that is frequently the source of back or leg pain. This procedure makes space between the vertebral bodies, relieving pressure and creating more room for spinal nerves to exit. It is called an anterior procedure because the spine is approached from the front. Unlike posterior approaches (from the back), the anterior approach avoids damage to the low back muscles. The removed disc portion is replaced with implanted bone grafting materials and adjacent vertebral bodies fuse to provide support.
前路腰椎椎間融合術(shù)(ALIF)切除大部分退變的椎間盤,這些椎間盤往往是腰痛和腿痛的根源。本手術(shù)挖空椎間隙,解除脊神經(jīng)壓迫,并擴(kuò)大神經(jīng)根管。因?yàn)槭中g(shù)從前方顯露脊柱,所以稱為前路手術(shù)。與后路手術(shù)(從背部進(jìn)行手術(shù))不同,前路手術(shù)可避免損傷腰部肌肉。去除部分椎間盤后以植入植骨材料代替,將相鄰的椎體融合起來(lái),提供支撐作用。
Incision and Disc Removal (切口和椎間盤切除)
An incision is made on the lower abdomen, usually just left to the middle of the body. Through this incision, exposure is provided to the front of the lumbar spine. Surgical instruments are used to remove some or all of the degenerated disc. If part of the disc material is spared, it is often retained to enclose bone graft implants.
在下腹部作一切口,往往在身體正中略偏左側(cè)。通過(guò)該切口,可以顯露腰椎前方。使用手術(shù)器械將部分或全部退變的椎間盤去除。如果有部分椎間盤組織剩余,常常予以保留,以包繞骨移植物。
Fusion (融合)
The disc space between the vertebrae is prepared to accept a cage that will take place of the disc. Next, bone graft material is placed in the cage. The cages is then inserted between the vertebral bodies to provide stability while new bone grows in place, fusing the vertebrae.
對(duì)椎體之間的椎間隙進(jìn)行準(zhǔn)備,以接納椎間融合器,代替椎間盤。然后,將植骨材料放入椎間融合器。再將椎間融合器植入椎間隙,為新骨長(zhǎng)入提供穩(wěn)定性,將椎體融合在一起。
Summary (總結(jié))
The incision is closed and dressed to complete the surgery. Patients will typically be hospitalized for 2-4 days and should avoid strenuous activity for 6-12 weeks.
關(guān)閉切口并包扎,手術(shù)結(jié)束。病人通常住院2~4天。6-12周內(nèi)避免劇烈活動(dòng)。
(高晨珉 轉(zhuǎn))
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