Shailesh Hadgaonkar, Bhushan Balvantrao Patil, Parag K Sancheti
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引用次数: 0
摘要
病例:43 岁男性,患有邻近节段 C7-D1 左侧椎旁和椎间孔椎间盘,左手握力弱,在 O 型臂导航下接受了单侧双侧内窥镜椎间盘切除术。该患者于10年前接受了C5-6和C6-7颈椎前路椎间盘切除和融合术(ACDF),近10年来一直无症状:结论:对于短颈颈椎的翻修,可以使用 O 型臂导航精确定位颈胸交界椎间盘,并通过微创单侧双侧内窥镜方法有效切除。
Unilateral Biportal Endoscopic Discectomy for Adjacent Segment C7-D1 Disk with O-Arm Navigation: A Unique Case Report.
Case: 43-year-old man with an adjacent segment C7-D1 left paracentral and foraminal disk and left-hand grip weakness underwent unilateral biportal endoscopic discectomy with O-arm navigation. The patient underwent C5-6 and C6-7 anterior cervical discectomy and fusion (ACDF) 10 years ago and was asymptomatic for nearly 10 years.
Conclusion: In revision of the cervical spine with a short neck, cervicothoracic junctional disks can be precisely located using O-arm navigation and effectively removed with a minimally invasive unilateral biportal endoscopy approach.
期刊介绍:
JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.