醒来,内镜腰椎体间脊髓融合:10年的经验与第一个400个案例
Michael Y Wang1, Jay Grossman2
11Departments of Neurological Surgery and.
Journal of neurosurgery. Spine
|January 10, 2025
概括
醒着的内镜脊柱融合为脊柱融合提供了一种可行的超微创手术选择,可以实现良好的疼痛缓解和圆盘高度恢复. 谨慎的技术是必不可少的,以最大限度地减少并发症,如背部根结节刺激.
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:
- 醒着的内镜脊柱融合是一种超微侵袭技术.
- 它的目的是脊柱固定,融合和圆盘高度恢复.
- 本研究详细介绍了一个机构的经验和方法演变.
研究的目的:
- 为了评估清醒内镜脊柱融合的临床和放射性结果.
- 评估该技术在大量患者队列中的安全性和有效性.
- 识别和分析手术并发症,特别是背部根结节刺激.
主要方法:
- 10年来连续400名患者的回顾性审查.
- 结合了内镜解压,可扩展间隔器部署和穿皮螺丝.
- 没有使用全身内麻醉 (GETA) 进行的手术,使用脂质体布皮瓦卡因.
主要成果:
- 在没有转换为开放手术的情况下,在所有患者中成功进行手术.
- 腿部疼痛 (80%>75%) 和轴背部疼痛 (52%>75%) 的高度改善.
- 并发症包括短暂的DRG刺激 (23%),邻近水平的疾病 (3.5%) 和非联合 (1.8%).
结论:
- 醒着的内镜脊髓融合是选择患者的可行选择.
- 取得了可接受的临床和放射性结果.
- 精细的技术对于管理DRG刺激,高度恢复和非工会至关重要.
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