目前的实践和证据,用于内镜脊柱手术
Kai-Uwe Lewandrowski1, Jason Pittman, Sam Joseph
1From the Division Personalized Pain Research and Education, Center for Advanced Spine Care of Southern Arizona, Tucson, AZ (Lewandrowski), University of Arizona, Banner Medical Center, Tucson, AZ (Lewandrowski), Department of Orthopaedics, Fundación Universitaria Sanitas Bogotá D.C. Colombia (Lewandrowski), Dr. honoris causa Department of Orthopedics at Hospital Universitário Gaffree Guinle Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, Foreign Corresponding Member of Colombian National Academy of Medicine, Foreign Corresponding Member of the Brazilian Military Medical Academy, President Interamerican Society For Minimally Invasive Spine Surgery (SICCMI) (Lewandrowski), the Department of Orthopedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA (Pittman), HCA/USF Department of Orthopaedic Surgery, Joseph Spine Institute, Tampa, FL (Joseph), Excel Spine Center, UCSD Medical Center East Campus, Minimally Invasive Center of Excellence, San Diego, CA (Kim), Desert Institute For Spine Care, Phoenix, AZ (Yeung), and the Department of Orthopaedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA (Vaccaro).
内镜脊柱手术 (ESS) 提供了诸如更快的恢复和更少的干扰等好处. 本综述详细介绍了ESS技术,应用和改善患者护理的挑战.
科学领域:
- 神经外科 神经外科
- 最少侵入性手术的方法
背景情况:
- 脊柱内镜手术 (ESS) 是一种不断发展的微创手术技术.
- 它旨在减少组织破坏,加快恢复.
研究的目的:
- 审查ESS的历史发展和技术.
- 为了评估ESS的条件,如椎间盘和脊柱狭窄.
- 为了比较ESS结果与开放手术.
主要方法:
- 历史发展和ESS核心技术的回顾 (转型胺基,层间,双门式).
- 评估ESS在治疗椎间盘和脊柱狭窄症时的使用.
- 在ESS和开放脊椎手术之间的临床结果的比较.
主要成果:
- 通过ESS,可以减少组织破坏,缩短恢复时间和提高精度.
- 成功的关键因素包括患者选择,外科医生的专业知识和基于证据的实践.
- 挑战包括一个的学习曲线,可视化限制,以及潜在的并发症.
结论:
- 在脊椎外科手术中,ESS是一种有价值的进步,具有特定的好处.
- 仔细整合到实践中,解决挑战,对于最佳的患者结果至关重要.
- 需要进一步的研究和技术进步来完善ESS的应用.
