Multilevel tandem spondylolisthesis associated with a reduced "safe zone" for a transpsoas lateral lumbar interbody fusion at L4-5.

Anthony Oyekan,Jonathan Dalton,Mitchell S Fourman,Dominic Ridolfi,Landon Cluts,Brandon Couch,Jeremy D Shaw,William Donaldson,Joon Y Lee

Neurosurgical focus（2023）

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摘要

TDS represents more severe sagittal malalignment (PI-LL mismatch), pelvic compensation (PT), and changes in the psoas major muscle compared with no DS, and SLDS and is a risk factor for lumbar plexus injury during L4-5 LLIF due to a smaller safe zone.

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关键词

lateral lumbar interbody fusion,multilevel degenerative spondylolisthesis,psoas anatomy,spine

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