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经过修改后部全内镜椎切除术,用于高度迁移的椎椎间盘
Katsuhiko Ishibashi1, Ryuichi Watanabe1, Kazuyoshi Yanagisawa1
1Department of Orthopedic, Iwai Orthopaedic Hospital, Edogawa-Ku, Japan.
Surgical neurology international
|February 9, 2026
概括
后部全内镜椎切除术 (pFECD) 有效地治疗迁移的宫椎间盘 (CDHs). 量身定制的骨切除,包括部分脚切除术,确保安全和完全去除磁盘碎片.
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:
- 后部全内镜椎切除术 (pFECD) 是一种微创的技术.
- 最佳的工作走廊和骨切除程度对于治疗高度迁移的宫椎间盘 (CDHs) 至关重要.
- 需要根据磁盘迁移方向和程度进行个别定制.
研究的目的:
- 评估pFECD的安全性和有效性,对高度迁移的CDH进行量身定制的骨切除.
- 为了证明部分脚切除术对脑盘和尾盘迁移的技术修改.
主要方法:
- 使用pFECD治疗了两个高度迁移的CDH病例.
- 案例1涉及尾部迁移 (C5/6) 需要进行部分脚切除.
- 案例2涉及切法拉德迁移 (C6/7) 经过部分上肢切除术治疗.
主要成果:
- 在这两种情况下,完全清除迁移的磁盘碎片.
- 术后没有观察到神经系统后果.
- 头脑和尾部迁移的碎片都成功地得到了解决.
结论:
- 部分头骨切割和尾骨切割是pFECD的一种安全有效的修改.
- 这种量身定制的方法适用于管理大量迁移的CDH.
- 具有个性化骨切除的pFECD提供了一个可行的治疗选择.
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