用于C1-C2绳子压缩的MIS横口技术 - 使用3600导航方法的复杂性
Guna Pratheep Kalanchiam1, Pillay Robin2, Lim Ming Yann3
1Spine Surgery Unit, Department of Orthopedics, Tan Tock Seng Hospital, Singapore.
Journal of orthopaedic case reports
|January 13, 2025
概括
这项研究提出了一种对上宫骨髓病的微创横腔和后腔外科手术方法. 导航导向手术改善了患者的治疗结果,减少了并发症并促进了康复.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 最少侵入性的技术
背景情况:
- 部部和上部部手术带来了重大挑战,特别是当需要前部和后部的联合接入时.
- 对于腹部上宫病理而言,传统的开放横口方法具有高发病率的风险,包括食障碍和感染.
- 前后结合方法经常引起人们对手术致病率和患者康复的担忧.
研究的目的:
- 描述一个用结合管状横腔 (最小侵入性) 和后部方法管理的上骨髓病例.
- 为了评估导航导航的安全性和有效性,360度接近上部椎.
- 通过最小侵入性前部接入来证明手术致病率的降低.
主要方法:
- 一名74岁的男性患有C1囊性病变,导致骨髓病变,接受了分阶段,导航导向的手术.
- 手术技术涉及一种微创的横口管状方法用于前部减压,然后是后部方法用于稳定.
- 在整个C1-C2压缩和稳定的前后联合程序中,使用了全导航.
主要成果:
- 患者呈现出双边上肢和下肢虚弱 (MRC 4/5级),原因是C1处的腹腔带压缩.
- 在手术后,该患者表现出显著的神经改善,在四个四肢均获得MRC 5/5级.
- 导航引导的360度方法促进了更安全,更有效的减压和稳定.
结论:
- 360度导航导向对上椎的方法提高了安全性和有效性,降低了神经和血管并发症的风险.
- 结合最小侵入性前部到口腔的前部接入与后部稳定,可以最大限度地降低整体手术发病率.
- 这种方法为复杂的上宫病理提供了可行的解决方案,改善了患者的治疗结果和康复.
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