Artrodesis intersomática lateral de columna lumbar. Técnica quirúrgica y conceptos actuales.[Lateral lumbar interbody fusion. Surgical technique and current concepts].

Matías Pereira Duarte, Matias Gustavo Petracchi, Maximiliano Edgardo Mereles, Marcelo Gruenberg, Carlos Alberto Solá, Federico Pablo Girardi

Resumen


El abordaje lateral mínimamente invasivo de columna lumbar para la artrodesis intersomática es una técnica relativamente nueva y ha conseguido resultados prometedores en los pacientes con diferentes patologías de la columna lumbar. Es una técnica segura que proporciona un adecuado soporte estructural entre los platillos vertebrales, puede corregir la deformidad en los planos coronal y sagital, y ejercer una descompresión indirecta del canal raquídeo respetando los elementos posteriores. La evidencia sobre esta técnica ha ido creciendo y diversificándose en los últimos años, se han comunicado nuevas indicaciones, y resultados a mediano y largo plazo.

El propósito de este trabajo es detallar el procedimiento quirúrgico paso a paso, con sus variantes tal como lo realizamos en nuestros Centros, y puntualizar los conceptos actuales basados en una revisión bibliográfica.


Palabras clave


Artrodesis intersomática; vía anterior; fusión intersomática lumbar lateral; fusión intersomática extremo lateral; abordaje lateral de columna; conceptos actuales.

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Referencias


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DOI: http://dx.doi.org/10.15417/issn.1852-7434.2018.83.4.754

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Registro de la Propiedad Intelectual Nº 5353562 (en línea).

ISSN 1852-7434 (en línea).

Esta Revista está bajo una Licencia Creative Commons Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional. (CC-BY-NC-SA 4.0)