椎板间切除术/椎间盘切除术的技术和结果

John Choi , Keyur Akbari , Juan Amaya , James Rizkalla
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引用次数: 0

摘要

目的 经椎间孔入路的单侧双腔内窥镜减压术是一种不断发展的微创技术,用于对因退行性腰椎管狭窄或椎间盘突出造成的神经结构进行减压。本研究旨在强调该手术的技术要点,以获得安全和更好的临床疗效。研究结果 通过椎板间孔入路进行的单侧双孔内窥镜手术提供了一个极佳的放大和照明手术视野,不仅能为同侧减压,还能为对侧减压。硬膜撕裂和硬膜外血肿是已知的并发症,但发生率很低。结论 通过层间入路进行单侧双腔内窥镜减压术可以安全有效地对神经元进行减压,而不会破坏脊柱的稳定性。
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Interlaminar laminectomy/discectomy techniques and outcomes

Objective

Unilateral Biportal Endoscopic decompression via interlaminar approach is an evolving minimally invasive technique to decompress the neural structures from either due to degenerative lumbar canal stenosis or herniated disc. The current study aims to highlight technical aspects of this procedure for safe and better clinical outcomes.

Findings

Unilateral Biportal Endoscopy via interlaminar approach provides an excellent magnified and illuminated surgical field to satisfactorily decompress not only ipsilateral but contralateral side also. Dural tear and epidural hematomas are known complications; however, the incidence is low.

Conclusion

Unilateral Biportal Endoscopic decompression via interlaminar approach can safely and effectively decompress neural elements without destabilizing spine.

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来源期刊
Seminars in Spine Surgery
Seminars in Spine Surgery Medicine-Surgery
CiteScore
0.50
自引率
0.00%
发文量
53
审稿时长
2 days
期刊介绍: Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.
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