在伯托洛蒂综合征中,全内镜J形变形L5神经减压
Chang-Il Ju1, Pius Kim1, Jong Hun Seo1
1Department of Neurosurgery, Chosun University Hospital, Gwangju, Korea.
Neurospine
|January 7, 2025
概括
这项研究表明,在伯托洛蒂综合征中,L5神经减压的最小侵入性内镜技术可用于贝托洛蒂综合征,这是由于脊柱异常引起背部疼痛的疾病. 这种J形的方法有效地减压神经根,提供了一个安全的外科替代方案.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 最少侵入性的脊柱手术
背景情况:
- 伯托洛蒂综合征涉及先天性腰部神经过渡椎,可能导致机械腰部疼痛和L5神经根压缩.
- 伯托洛蒂综合征的解剖学变异,如大L5横向过程,可以使手术方法复杂化.
- 一名69岁的男性患有伯托洛蒂综合征,由于前腔狭窄和椎间盘,出现了L5皮肤瘤根茎病变.
研究的目的:
- 为了展示一个完全内镜的J形变形膜技术L5退出神经减压.
- 为了说明由于伯托洛蒂综合征而导致复杂解剖的患者的手术方法.
- 为了突出L5根基病变的内镜解压的最小侵入性优势.
主要方法:
- 采用了J形转膜内镜方法,对接于L5横向过程.
- 用J形的内镜钻孔部分切割了横向过程和Kambin三角接入的警报翼.
- 通过切割上部关节过程 (SAP) 尖端来实现L5退出的神经根的减压.
主要成果:
- 通过使用全内镜技术,成功地实现了L5退出的神经根的减压.
- 这种J形的方法可以使内镜安全插入,并在狭窄的外科走廊中进行导航.
- 在伯托洛蒂综合征的背景下,该程序有效地解决了前狭窄和神经根压缩.
结论:
- 全内镜脊柱手术为伯托洛蒂综合征L5神经减压的开放手术提供了安全有效的替代方案.
- 展示的J形技术适合于这些患者处理复杂的解剖挑战.
- 最少侵入性内镜解压为治疗与伯托洛蒂综合征相关的L5根性病变提供了显著的优势.
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