理学療法ジャーナル56巻2号

2022年02月発行

特集 進歩する低侵襲手術に応じた理学療法—治療プログラム，目標設定，リスク管理

脊椎の低侵襲手術と理学療法

著者： 古谷英孝¹² 星野雅洋³⁴

所属機関： ¹苑田第三病院リハビリテーション科 ²苑田会東京脊椎脊髄病センターリハビリテーション科 ³苑田第三病院整形外科 ⁴苑田会東京脊椎脊髄病センター整形外科

ページ範囲：P.159 - P.164

脊椎の低侵襲手術の特徴-XLIF^®とOLIF

　腰部脊柱管狭窄症，腰椎変性すべり症，椎間板症，成人脊柱変形症などの脊椎変性疾患に対して，腰椎椎体間固定術や脊柱矯正固定術などの外科的手術が施行される．手術を行うことで，痛みの改善，日常生活活動（ADL）や社会活動への参加能力が改善することが報告されており^1〜3），術後の理学療法の重要性について言及した研究も散見される^4,5）．

　側方経路腰椎椎体間固定術（lateral interbody fusion：LIF）は，最小侵襲手術として近年，急速に普及した手術方法の1つで，代表的な手術には，extreme lateral interbody fusion（XLIF^®）とoblique lateral interbody fusion（OLIF）がある（図1）．

参考文献

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