Oblique lateral interbody fusion to treat lumbar spinal stenosis in a patient with situs inversus totalis: a case report
| Autor: | Bin Chen, Feng-Kai Yang, ChenTao Dou, Xiao-Kang Cheng |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
0301 basic medicine Medicine (General) congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty medicine.medical_treatment Case Reports situs inversus Oblique lateral spine Biochemistry Inferior vena cava 03 medical and health sciences R5-920 Spinal Stenosis 0302 clinical medicine Lumbar medicine.artery lumbar interbody fusion Oblique lateral interbody fusion otorhinolaryngologic diseases medicine case report Humans Minimally Invasive Surgical Procedures Internal fixation Lumbar Vertebrae business.industry Biochemistry (medical) Abdominal aorta Lumbar spinal stenosis Cell Biology General Medicine medicine.disease Surgery Situs inversus Spinal Fusion medicine.anatomical_structure medicine.vein anatomical variation Abdomen Female 030101 anatomy & morphology business 030217 neurology & neurosurgery |
| Zdroj: | The Journal of International Medical Research Journal of International Medical Research, Vol 49 (2021) |
| ISSN: | 1473-2300 0300-0605 |
| Popis: | Oblique lateral interbody fusion (OLIF) is a minimally invasive spinal surgery that is popular for lumbar degeneration and spinal deformity treatment because it causes minimal damage to the stability of the intervertebral structures. However, when encountering abnormal anatomical structures caused by situs inversus, surgical routes must be adjusted to avoid serious complications. A 42-year-old woman with lumbar spinal stenosis presented to our hospital. Preoperative X-ray and computed tomography indicated situs inversus totalis, with the abdominal aorta and inferior vena cava reversed. We established an appropriate surgical approach for OLIF via the right abdomen according to the characteristics of the anatomical structures. Postoperative X-rays showed adequate positioning of the interbody fusion cage and internal fixation screws. At the 3-month follow-up, the patient reported resolution of her symptoms. Vascular variations caused by situs inversus totalis can affect the course of OLIF. Understanding the unique anatomical structure in such patients is crucial for successful surgery and to avoid intraoperative complications. |
| Databáze: | OpenAIRE |
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