单门式 全内镜式 后侧式 变形式 腰椎式 腰椎式 体间融合式
Wen-Chien Chen1, Yun-Da Li1, Chi-An Luo2
1Department of Orthopaedic Surgery, New Taipei Municipal Tucheng Hospital.
Journal of visualized experiments : JoVE
|June 23, 2025
概括
单通道全内镜后侧腰间体融合 (FE-TLIF) 对脊椎疾病提供了有前途的结果. 适当的培训和关键技术的理解对于外科医生来说至关重要,以掌握这种微创手术,确保安全和效率.
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:
- 单通道全内镜后侧腰间体融合 (FE-TLIF) 是一种新兴的技术,具有潜在的好处.
- 由于FE-TLIF的技术要求和学习曲线,初学者在掌握FE-TLIF方面面临挑战.
研究的目的:
- 为FE-TLIF提供详细,逐步的程序指南.
- 概述一个更安全,更有效的FE-TLIF程序的关键技术和预防措施.
- 提供教育视频素材,说明FE-TLIF技术.
主要方法:
- 详细描述FE-TLIF手术对于L4-L5退行性脊髓缩与脊柱狭窄和坐骨折的病例.
- 使用了标准的TLIF仪器,用于体内融合 (IBF) 准备的外置特里芬技术,以及内镜可视化.
- 在整个手术过程中强调神经保护.
主要成果:
- 该研究提出了FE-TLIF的综合性协议.
- 展示了常用仪器与专门的内镜技术的整合.
- 强调了神经保护和有效的末板准备的重要性.
结论:
- 通过适当的教育和培训,可以有效地学习FE-TLIF.
- 掌握FE-TLIF技术可以带来有利的临床结果.
- 遵守描述的协议可以最大限度地减少与FE-TLIF相关的并发症.
相关概念视频
Joints
Joints, also called articulations or articular surfaces, are points at which ligaments or other tissues connect adjacent bones. Joints permit movement and stability, and can be classified based on their structure or function.
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
Anatomical Positions
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
Functional Classification of Joints
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
Structural Joints: Fibrous Joints
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
Structural Classification of Joints
Joints, also known as articulations, are classified based on their structural characteristics, i.e., based on whether the articulating surfaces of the adjacent bones are directly connected by fibrous connective tissue or cartilage, or whether the articulating surfaces contact each other within a fluid-filled joint cavity. These differences serve to divide the joints of the body into three structural classifications.
A fibrous joint is where the adjacent bones are united by fibrous connective...
A fibrous joint is where the adjacent bones are united by fibrous connective...


