对于反复发生的椎间盘的内镜逆侧交叉椎间盘切除术
Sohrab Gollogly1, James Yue2, Facundo Van Isseldyk3
1Monterey Spine and Joint, Monterey, CA, USA.
Neurospine
|January 7, 2025
概括
本视频介绍了一种新的内镜外科手术技术,用于复发性椎间盘,为困难的脊柱病理提供了一种新方法. 这种方法在修复手术中提供了增强的可视化和访问.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
背景情况:
- 内镜脊柱手术在接近困难病理方面具有优势.
- 修复脊柱手术由于痕组织和改变的解剖学而存在独特的挑战.
研究的目的:
- 描述一种新型的 contralateral transaxillary内镜方法,用于复发的腰椎间盘.
- 为了强调这项技术在修复脊柱手术中的实用性.
主要方法:
- 进行对侧面介层内镜断层切除术的演示.
- 使用"上方"技术,从背部导航到神经囊.
- 在患有S1神经根早期脱发的患者中特别应用于创建腹窗口的患者.
主要成果:
- 在L5-S1.1.成功地通过内镜检查了在L5-S1.1.处的复发性磁盘.
- 从和"上方"的视角来看,的可视化.
- 这种方法在背部导航到S1神经根,腹部导航到神经囊.
结论:
- 反侧面的交叉内镜方法是复发性椎间盘的可行选择.
- 这种技术在修复脊柱手术中提供了明显的优势,特别是在特定的解剖变异的情况下.
- 内镜仪器在狭窄的脊柱通道中提供了更大的机动性.
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