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Ureter position and risk of ureteral injury during lateral lumbar interbody fusion
http://hdl.handle.net/10458/0002000740
http://hdl.handle.net/10458/0002000740aa9c8ee0-a483-44f9-bb85-8a7374371014
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
article (1.1 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2024-09-06 | |||||
| タイトル | ||||||
| タイトル | Ureter position and risk of ureteral injury during lateral lumbar interbody fusion | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| キーワード | Complications | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| キーワード | Ureteral injury | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| キーワード | Lateral lumbar interbody fusion (LLIF) | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| キーワード | Position of the left ureter | |||||
| 資源タイプ | ||||||
| 資源タイプ | journal article | |||||
| アクセス権 | ||||||
| 著者 |
濱中, 秀昭
× 濱中, 秀昭× 田島, 卓也× 黒木, 修司× 比嘉, 聖× 永井, 琢哉× 黒木, 智文× 高森, 大樹× 向井, 尚一郎× 賀本, 敏行× 帖佐, 悦男 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | BACKGROUND Ureteral injury during lateral lumbar interbody fusion (LLIF) is uncommon. However, it is a serious complication that may require additional surgery should it occur. The objective of this study was to evaluate whether there was any change in the position of the left ureter between preoperative biphasic contrast-enhanced CT scanned in the supine position and intraoperative scanning in the right lateral decubitus position after stent placement, to assess the risk of ureteral injury in the actual surgical position. METHODS The position of the left ureter scanned with the O-arm navigation system with the patient in the right lateral decubitus position and its position on preoperative biphasic contrast-enhanced CT images scanned with the patient in the supine position were investigated comparing their positions at the L2/3, L3/4, and L4/5 levels. RESULTS The ureter was located along the interbody cage insertion trajectory in 25 of 44 disc levels (56.8%) in the supine position, but in only 4 (9.5%) in the lateral decubitus position. The proportion of patients in whom the left ureter was located lateral to the vertebral body (along the LLIF cage insertion trajectory) at each level was 80% in the supine position and 15.4% in the lateral decubitus position at the L2/3 level, 53.3% in the supine position and 6.7% in the lateral decubitus position at the L3/4 level, and 33.3% in the supine position and 6.7% in the lateral decubitus position at the L4/5 level. CONCLUSION The proportion of patients in whom the left ureter was located on the lateral surface of the vertebral body when the patient was in the actual surgical position (lateral decubitus position) was 15.4% at the L2/3 level, 6.7% at the L3/4 level, and 6.7% at the L4/5 level, suggesting that caution is required during LLIF surgery. |
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| 言語 | en | |||||
| 内容記述 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Citation: Hamanaka H, Tajima T, Kurogi S, Higa K, Nagai T, Kuroki T, Takamori H, Mukai S, Kamoto T, Chosa E. Ureter position and risk of ureteral injury during lateral lumbar interbody fusion. J Orthop Sci. 2024 May;29(3):775-780. doi: 10.1016/j.jos.2023.04.011 |
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| 言語 | en | |||||
| 書誌情報 |
en : Journal of Orthopaedic Science 巻 29, 号 3, p. 775-780 |
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| 出版者 | ||||||
| 出版者 | Elsevier BV | |||||
| 言語 | en | |||||
| ISSN | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0949-2658 | |||||
| DOI | ||||||
| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.1016/j.jos.2023.04.011 | |||||
| 権利 | ||||||
| 言語 | en | |||||
| 権利情報 | © 2023 The Authors. | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
