Surgical management of tethered spinal cord syndrome through biportal endoscopic approach: a novel technical note

Mehmet İlker Özer, Mehmet Can Ezgü, Ali Kaplan, Zeliha Çulcu Gürcan, Oğuz Kağan Demirtaş
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Abstract

This video article explores a case of tethered cord release through a minimally invasive biportal endoscopic approach. A 24-year-old female with chronic back pain and thigh numbness underwent surgery. The chosen approach involved biportal endoscopic technique, demonstrating precision with minimal bone excision. Preoperative imaging revealed a midline fusion defect at L5 and abnormal conus medullaris termination. The surgical procedure involved one-sided hemilaminectomy, durotomy, and careful filum terminale separation. Postoperatively, radiological exams confirmed success with minimal bone defect. Emphasizing minimal invasiveness, reduced bone excision, and muscle sparing, this technique showcased successful outcomes, enabling the patient’s rapid postoperative recovery without complications. The video can be found here: https://stream.cadmore.media/r10.3171/2024.1.FOCVID23228
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通过双入口内窥镜手术治疗系带脊髓综合征:新颖的技术说明
本视频文章探讨一例通过双入口内窥镜微创方法进行系带松解的病例。一名 24 岁的女性因长期背痛和大腿麻木接受了手术。选择的方法是双ortal内窥镜技术,该技术精确度高,只需切除极少量的骨头。术前造影显示 L5 椎体中线融合缺损,髓圆锥终止异常。手术过程包括单侧半椎板切除术、穹隆切除术和仔细的髓丝分离术。术后,放射学检查证实手术成功,骨缺损极小。该技术强调微创、减少骨切除和肌肉保护,取得了成功的结果,使患者术后恢复迅速,无并发症发生。视频请点击:https://stream.cadmore.media/r10.3171/2024.1.FOCVID23228
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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