Transforaminal arthroscopic decompression of lateral recess stenosis
Transforaminal arthroscopic decompression of lateral recess stenosis
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DOI：
10.3171/jns.1996.84.3.0462
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发表时间：
1996-03-01
影响因子：
4.1
通讯作者：
Zhou, LQ
中科院分区：
文献类型：
--
作者：
Kambin, P;Casey, K;Zhou, LQ
本研究旨在评估关节镜下外侧隐窝狭窄减压的可行性和有效性，确定潜在的相关并发症，并提出一种进入腰椎外侧隐窝的替代方法。作者选取了40例有外侧隐窝狭窄和椎间孔游离型突出的临床及计算机断层扫描证据的患者。所有40例患者均采用后外侧关节镜技术进行治疗，其中38例可用于此次随访评估。31例患者（82%）获得满意结果。未出现神经血管并发症；然而，其他并发症包括1例患者的椎间隙感染和4例患者受累肢体的灼性神经痛。这组患者相关的术后发病率极低，患者康复迅速并恢复到术前功能水平。
The purpose of this study was to evaluate the feasibility and efficacy of arthroscopic decompression of lateral recess stenosis, determine potential associated complications, and present an alternative method to access the lateral recess of the lumbar spine. Forty patients were selected in whom the authors found clinical and computerized tomography evidence of lateral recess stenosis and sequestered foraminal herniations. All 40 were treated with a posterolateral arthroscopic technique, and 38 were available for this follow-up evaluation. A satisfactory result was obtained in 31 patients (82%). No neurovascular complications were encountered; however, other complications included an infection of the disc space in one patient and a causalgic-type pain in the involved extremity in four patients. The associated postoperative morbidity in this group of patients was minimal and resulted in rapid rehabilitation and return of patients to preoperative functioning level.