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腰椎间盘显微切除术黄韧带的平滑剥离。该个人技术的初步报告。

Smooth dissection of ligamentum flavum for lumbar microdiscectomy. Preliminary report of this personal technique.

作者信息

Nicoletti Giovanni F, Platania Nunzio, Albanese Vincenzo

机构信息

Department of Neurosurgery, Garibaldi Hospital, Catania 95100, Italy.

出版信息

Surg Neurol. 2005 Sep;64(3):232-5; discussion 235-6. doi: 10.1016/j.surneu.2004.11.012.

Abstract

A newly designed technique for preservation of the ligamentum flavum (LF) during the lumbar discectomy is presented. This technique allows the evacuation of the lumbar herniated disk, without removal or laminar disinsertion of the LF. This ligament is smoothly dissected longitudinally in its more lateral portion, obtaining, after discectomy, the contact of the 2 margins with restoration of its functional integrity. Forty-five patients were operated on with this technique. We feel that this technique could offer advantages in reduction of epidural fibrosis and of decreased risk of dural injury, and is helpful to the surgeon in the case of recurrence of discal herniation.

摘要

本文介绍了一种新设计的在腰椎间盘切除术中保留黄韧带(LF)的技术。该技术能够在不切除或不进行黄韧带椎板附着分离的情况下,清除腰椎间盘突出物。在黄韧带更外侧部分纵向平滑地进行解剖,椎间盘切除术后,使两侧边缘接触,恢复其功能完整性。45例患者接受了该技术手术。我们认为,该技术在减少硬膜外纤维化和降低硬脊膜损伤风险方面具有优势,并且在椎间盘突出复发的情况下对手术医生有帮助。

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