单孔内窥镜腰椎减压术:椎板间和经椎板的技术和结果

Dean C. Perfetti , Peter B. Derman
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引用次数: 0

摘要

目的虽然人们对内窥镜腰椎减压术的兴趣与日俱增,但由于学习曲线陡峭,而且在许多正规培训项目中缺乏接触,因此内窥镜腰椎减压术的普及速度一直很慢。本文旨在让外科医生熟悉单孔内窥镜腰椎减压术的适应症、手术技巧以及通过层间和经椎间孔途径进行腰椎减压的结果。结论内镜下椎间孔和经椎间孔技术安全有效,与传统的开腹和MIS技术相比,其长期疗效至少不逊于后者,且恢复更快。
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Uniportal endoscopic lumbar decompression: Interlaminar and transforaminal techniques and outcomes

Objective

While there is increasing interest in endoscopic lumbar decompression, widespread adoption has been slowed in part due to the steep learning curve and lack of exposure in many formalized training programs. The objective of this article is to familiarize surgeons with the indications, surgical technique, and outcomes for uniportal endoscopic lumbar decompression via the interlaminar and transforaminal approaches.

Findings

Uniportal endoscopic techniques are growing in popularity as the literature demonstrates that they are safe and effective. Endoscopic approaches allow for rapid functional recovery with reduced morbidity compared to open and MIS techniques.

Conclusions

Endoscopic interlaminar and transforaminal techniques are safe and effective with at least non-inferior long-term outcomes and faster recovery compared to traditional open and MIS counterparts.

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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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