Evolving transforaminal endoscopic microdecompression for herniated lumbar discs and spinal stenosis.
Evolving transforaminal endoscopic microdecompression for herniated lumbar discs and spinal stenosis.
复制标题
不断发展的经椎间孔内窥镜微减压治疗腰椎间盘突出和椎管狭窄。
DOI：
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发表时间：
2006
影响因子：
--
通讯作者：
J. Chiu
中科院分区：
文献类型：
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作者：
J. Chiu
本章的目的是证明经椎间孔内窥镜显微减压术治疗腰椎间盘突出症和椎管狭窄症的进展，并通过内窥镜显微脊柱器械和激光应用来实现。自1993年以来，对2000例3421个腰椎间盘突出症患者进行了诊断，诊断为症状性腰椎间盘突出症。除了后外侧椎间孔镜和内窥镜辅助脊柱手术系统外，还使用了一系列不同直径的内窥镜辅助管状牵开器（带有适当尺寸的扩张器和更具攻击性的锯齿环钻）和激光进行经椎间孔内窥镜显微减压。在2000例患者中，无术后死亡，发病率低于1%。对于单个节段，94%的患者具有良好或优秀的结果; 6%的患者有一些残留症状，尽管总体上有所改善。经椎间孔内窥镜激光显微减压术在椎间孔成形术中可以有效地治疗腰椎间盘突出和椎管狭窄，这为有效的脊柱减压提供了一种安全有效的方式，保留了脊柱运动，并为脊柱成形术创造了一个通道。
The objective of this chapter was to demonstrate evolving transforaminal endoscopic microdecompression for herniated lumbar discs and spinal stenosis, and to become accomplished with endoscopic micro spinal instruments and laser application. Since 1993, 2000 patients with 3421 herniated lumbar discs were diagnosed with symptomatic lumbar single and multiple herniated intervertebral discs. Progressive series of different diameters endoscopic-assisted tubular retractors, with appropriate-sized dilators and more aggressive saw-toothed trephines, and laser were used to perform transforaminal endoscopic micro-decompression, in addition to the posterior-lateral foraminoscope and endoscopic-assisted spinal operating systems. No postoperative mortalities occurred, and the morbidity rate was less than 1%, in the 2000 patients. For a single level, 94% of the patients had good or excellent results; 6% had some residual symptoms although improved overall. Transforaminal endoscopic laser microdecompression can effectively decompress herniated lumbar discs and spinal stenosis, when foraminoplasty is performed, which provides a safe and effective modality to achieve results in effective spinal decompression, preserves spinal motion, and creates a channel for spinal arthroplasty.
影响因子：
3
作者：
Atlas, SJ;Keller, RB;Singer, DE
通讯作者：
Singer, DE
影响因子：
3
作者：
Katz, JN;Stucki, G;Weinstein, JN
通讯作者：
Weinstein, JN