Abstract:
BACKGROUND:Oblique lateral interbody fusion (OLIF) surgery provides a convenient and minimal access to the lesion disc with few complications; however, the left lumbar sympathetic trunk (LST) lies in the surgical field with a certain incidence of injury. The aim of this study was to describe the anatomic structures of the left LST at risk for injury during OLIF at different lumbar segment levels based on radiologic evaluations. METHODS:Forty-four healthy young people (22 men and 22 women) were recruited, and routine lumbar magnetic resonance radiograph was performed. The LST, abdominal aorta (AA), and psoas muscle (PM) were observed, and all parameters were acquired using axial T2-weighted turbo spin echo sequence images. Independent-samples t test, 1-way analysis of variance test, and Least significant difference test were used to explore the LST's tract and the anatomic relationship with the adjacent anatomic landmarks at different levels. RESULTS:The distance from the left lateral border of the AA to the anterior medial border of the left PM was significantly narrowing from the L2-3 to L4-5 segment levels (13.72 ± 3.00, 11.78 ± 2.69, and 9.18 ± 3.43 mm). The distance from the left lateral border of the AA to the left LST was also significantly decreased from the L2-3 to L4-5 segment levels (11.14 ± 2.89, 9.36 ± 2.79, and 6.63 ± 2.94 mm). However, the distance from the leading edge of the left PM to the left LST had no statistical differences among all adjacent segment levels (2.96 ± 0.62, 2.83 ± 0.62, and 3.07 ± 0.86 mm). The location of the left LST is more backward and lateral at level L2-3, whereas it is inside front at levels L3-4 and L4-5. CONCLUSIONS:The practical risk of LST injury in different segment levels varied with specific anatomic conditions. The segment level L2-3 could provide a safer surgical space for OLIF, and the risk of the left LST injury might be greater during OLIF at level L4-5.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Wang H,Zhang Y,Ma X,Xia X,Lu F,Jiang Jdoi
10.1016/j.wneu.2018.04.212subject
Has Abstractpub_date
2018-08-01 00:00:00pages
e380-e385eissn
1878-8750issn
1878-8769pii
S1878-8750(18)30932-Xjournal_volume
116pub_type
杂志文章abstract:BACKGROUND:Syringomyelia due to intracranial hypotension is rarely described. As a consequence, intracranial hypotension is less recognized as a potential cause of syringomyelia or mistaken with Chiari type 1 malformation. The pathogeny is poorly understood, and we lack diagnostic and therapeutic strategies for this pa...
journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2016.04.062
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abstract:BACKGROUND:Ossification of the posterior longitudinal ligament (OPLL) often leads to cervical myelopathy. Although multiple procedures have been shown to be effective in the treatment of OPLL, outcomes are less predictable than in degenerative cervical myelopathy, and surgery is associated with high rates of complicati...
journal_title:World neurosurgery
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abstract:BACKGROUND:Carotid endarterectomy (CEA) is a useful procedure to prevent subsequent ischemic stroke in patients with severe stenosis of internal carotid artery. However, lowering of morbidity is still essential to keep its clinical significance. This study aimed to evaluate the validity of dual monitoring using transcr...
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更新日期:2012-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.wneu.2020.07.083
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.06.023
更新日期:2017-09-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.01.116
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:Spinal cord herniation (SCH) is rare, is mostly idiopathic, and occurs predominantly in the thoracic spine. SCH is less common in the cervical spine and has been reported after posterior cervical spine surgery associated with the development of pseudomeningoceles. Two cases of SCH have been reported after an...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.01.078
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journal_title:World neurosurgery
pub_type: 杂志文章
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更新日期:2018-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.02.032
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journal_title:World neurosurgery
pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.12.116
更新日期:2019-01-03 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2014.08.010
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:For multisession radiosurgery, no published data relate the volume and dose of cochlear irradiation to quantified risk of hearing loss. We conducted a retrospective, dosimetric study to evaluate the relationship between hearing loss after stereotactic radiosurgery (SRS) and the dose-volume of irradiated cochl...
journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2012.04.001
更新日期:2013-09-01 00:00:00
abstract::Traumatic atlantoaxial dislocation without associated odontoid fracture or neurologic deficit is rare. We present the case of a 39-year-old male pedestrian who was struck by a vehicle and sustained a traumatic grade 4 C1-2 retrolisthesis. Closed reduction was successful, and the patient underwent posterior occipitocer...
journal_title:World neurosurgery
pub_type:
doi:10.1016/j.wneu.2020.05.064
更新日期:2020-08-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2019.03.058
更新日期:2019-06-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2016.03.087
更新日期:2016-07-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.07.286
更新日期:2018-11-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.07.133
更新日期:2017-11-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.06.179
更新日期:2017-09-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.11.145
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2020-11-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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更新日期:2019-01-03 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2018.07.108
更新日期:2018-11-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.04.120
更新日期:2017-08-01 00:00:00
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journal_title:World neurosurgery
pub_type:
doi:10.1016/j.wneu.2020.06.100
更新日期:2020-09-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.08.076
更新日期:2017-12-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.11.033
更新日期:2018-03-01 00:00:00
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journal_title:World neurosurgery
pub_type:
doi:10.1016/j.wneu.2020.04.197
更新日期:2020-07-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
doi:10.1016/j.wneu.2018.12.015
更新日期:2018-12-19 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2017.03.051
更新日期:2017-10-01 00:00:00