上腰椎椎管内椎间盘突出症的斜向椎旁入路：技术病例报告
An oblique paraspinal approach for intracanalicular disc herniations of the upper lumbar spine: technical case report.
作者信息
Moon Ki-Hyoung, Lee Sang-Ho, Kong Byoung Joon, Shin Song-Woo, Bhanot Arun, Kim Dong-Yun, Lee Ho Yeon
机构信息
Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
出版信息
Neurosurgery. 2006 Oct;59(4 Suppl 2):ONSE487-8; discussion ONSE488. doi: 10.1227/01.NEU.0000232772.82860.75.
OBJECTIVE
To present our experience of treating the central or paramedian disc herniations of the upper lumbar levels through a paraspinal approach.
CLINICAL PRESENTATION
We present four patients with intracanalicular disc herniations at the L1-L2 or L2-L3 level. All patients had unilateral or bilateral radicular leg pain and motor weakness.
TECHNIQUE
Considering the unique characteristics of the upper lumbar spine, we performed the oblique paraspinal approach to expose the central portion of disc and removed the herniated disc effectively. Postoperatively, their symptoms were improved. There was no instability during the follow-up period.
CONCLUSION
The oblique paraspinal approach for the treatment of central disc herniations at the upper lumbar levels is an effective nonfusion technique that preserves most of the facet joint and provides a wide surgical field.
目的
介绍我们通过椎旁入路治疗上腰椎节段中央型或旁中央型椎间盘突出症的经验。
临床表现
我们报告4例L1-L2或L2-L3节段椎管内椎间盘突出症患者。所有患者均有单侧或双侧下肢放射性疼痛及运动无力。
技术
考虑到上腰椎的独特特点，我们采用斜行椎旁入路暴露椎间盘中央部分，有效摘除突出的椎间盘。术后患者症状改善。随访期间无不稳定情况发生。
结论
斜行椎旁入路治疗上腰椎节段中央型椎间盘突出症是一种有效的非融合技术，可保留大部分小关节并提供广阔的手术视野。
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