{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:43:34Z","timestamp":1740109414127,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100011852","name":"Paracelsus Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011852","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n<jats:title>Operationsziel<\/jats:title>\n<jats:p>Minimalinvasiver anterolateraler Zugang zur Lendenwirbels\u00e4ule (\u201eoblique lateral interbody fusion\u201c [OLIF]) zur Korrektur von lumbalen Deformit\u00e4ten.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Indikationen<\/jats:title>\n<jats:p>Ventrales Release bei degenerativer Lumbalskoliose oder segmentalen Kyphosen und interkorporelle Korrekturspondylodese.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Kontraindikationen<\/jats:title>\n<jats:p>Absolute Kontraindikationen bestehen nicht. Relative Kontraindikationen sind vorangegangene (linksseitige) retroperitoneale Eingriffe bzw. Zustand nach Peritonitis mit ausgepr\u00e4gten retroperitonealen Vernarbungen. Gef\u00e4\u00dfanomalien mit extrem lateral verlaufender V.\u00a0iliaca communis (v.\u202fa. bei Segmentationsst\u00f6rungen im vorletzten Bewegungssegment).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Operationstechnik<\/jats:title>\n<jats:p>\u00dcber einen kleinen Hautschnitt im Bereich der linken Flanke und Wechselschnitttechnik durch die Bauchwandmuskulatur retroperitoneales Eingehen auf die laterale anteriore Lendenwirbels\u00e4ule monosegmental bzw. von L1\u2013L5. Retraktion des M.\u00a0psoas und Ausr\u00e4umen des Bandscheibenfaches ggf. mit Durchtrennung des vorderen L\u00e4ngsbandes. Interkorporelles Release und Interposition eines Implantates zur ventralen Korrekturspondylodese.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Weiterbehandlung<\/jats:title>\n<jats:p>Fr\u00fchmobilisation nach dorsaler Instrumentation nach Abklingen der Narkose unter Thromboseprophylaxe. Leichte Kost bis zum ersten Stuhlgang. Tragen einer rumpfstabilisierenden Orthese je nach Art und Ausdehnung des Eingriffes bis zu 12\u00a0Wochen. Keine Einschr\u00e4nkungen bez\u00fcglich Gehstrecke, Stehen und Sitzen unmittelbar postoperativ nach Schmerzvorgabe.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ergebnisse<\/jats:title>\n<jats:p>Es wurden 15\u00a0konsekutive Patienten mit degenerativer lumbaler Skoliose im Sinne einer ventrodorsalen Fusionsoperation versorgt. Die operative ventrale Versorgung beinhaltete 1 bis 4\u00a0Segmente. Erfasst wurden die zugangsspezifischen Komplikationen sowie die pr\u00e4- und postoperativen radiologischen Parameter. Bei keinem der 15\u00a0linksseitig retroperitoneal durchgef\u00fchrten ventralen Zug\u00e4nge wurden intraoperative oder postoperative zugangsspezifische Komplikationen festgestellt. Im gesamten Patientenkollektiv konnte eine signifikante Reduktion des a.p.-Cobb-Winkels von pr\u00e4operativ 16\u00b0\u202f\u00b1\u20096\u00b0 auf 3\u00b0\u202f\u00b1\u20092\u00b0 postoperativ (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001) erreicht werden.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00064-020-00658-8","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T14:06:58Z","timestamp":1584367618000},"page":"200-208","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mono- und mehrsegmentaler ventraler minimalinvasiver Zugang zur Lendenwirbels\u00e4ule (OLIF) zur Korrektur von Deformit\u00e4ten","The mono- and multisegmental ventral minimally invasive approach to the lumbar spine (OLIF) in lumbar deformities"],"prefix":"10.1007","volume":"32","author":[{"given":"Christoph","family":"Mehren","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenz","family":"Wanke-Jellinek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Krenauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Korge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,16]]},"reference":[{"key":"658_CR1","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1016\/S1529-9430(02)00184-5","volume":"2","author":"S Brau","year":"2002","unstructured":"Brau\u00a0S (2002) Mini-open approach to the spine for anterior lumbar interbody fusion: description of the procedure, results and complications. 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