摘要
随着全内镜设备及技术的不断完善,全内镜下腰椎手术适应证不断扩大,目前对几乎所有类型的腰椎间盘突出症及腰椎管狭窄症都可以做到充分的减压,可以获得良好的影像学及临床结果。但对于合并腰椎节段性不稳定或盘源性腰痛等需要腰椎融合的疾病,全内镜下手术仍面对较大的挑战。
Full-endoscopic lumbar interbody fusion through interlaminar approach has not been reported in the literature,and the use of non-expandable cages for full-endoscopic intervertebral implantation is more technically challenging.The author draws on the idea of unilateral bi-portal endoscopic lumbar interbody fusion assisted with arthroscopy,and designs a unilateral interlaminar approach with bi-portal full-endoscopic lumbar interbody fusion using PEEK non-expandable cages.Good clinical outcomes and imaging results have been obtained following its successful application in clinic.This tutorial details the surgical planning,procedure,and postoperative evaluations.
作者
李振宙
侯树勋
LI Zhen-zhou;HOU Shu-xun(Department of Orthopaedics,The Fourth Medical Center of Chinese PLA General Hospital,Beijing,100048,China)
出处
《中国骨与关节杂志》
CAS
2020年第1期22-26,共5页
Chinese Journal of Bone and Joint
关键词
腰椎
内窥镜
脊柱融合术
最小侵入性外科手术
Lumbar vertebrae
Endoscopes
Spinal fusion
Minimally invasive surgical procedures