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颈椎退行性疾病的显微手术

Microsurgery for degenerative conditions of the cervical spine.

作者信息

Riew K Daniel, McCulloch John A, Delamarter Rick B, An Howard S, Ahn Nicholas U

机构信息

Department of Orthopaedic Surgery, Barnes-Jewish Hospital, Washington University, St. Louis, Missouri, USA.

出版信息

Instr Course Lect. 2003;52:497-508.

Abstract

Although the operating microscope has been used for spine surgery for more than 20 years, its use is still not widely accepted by orthopaedic spine surgeons. Nevertheless, surgeons who have used the operating microscope are well aware of its many advantages in performing spine surgery. Most notably, the superior visualization it provides allows for faster, safer, and more extensive decompressions. The reluctance of many surgeons to use the operating microscope often has to do with trepidation regarding new technology. The use of the operating microscope when performing anterior and posterior cervical spine surgery makes these procedures easier to carry out and decreases the risk of complications during decompression of the spinal cord.

摘要

尽管手术显微镜已用于脊柱手术20多年,但骨科脊柱外科医生对其使用仍未广泛接受。然而,使用过手术显微镜的外科医生深知其在脊柱手术中的诸多优势。最显著的是,它提供的卓越可视化效果使减压操作能更快、更安全且范围更广。许多外科医生不愿使用手术显微镜往往与对新技术的恐惧有关。在进行颈椎前路和后路手术时使用手术显微镜,使这些手术更易于实施,并降低了脊髓减压过程中出现并发症的风险。

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