Lee Sang-Ho, Lee June Ho, Choi Won-Chul, Jung Byungjoo, Mehta Rajendra
Department of Neurosurgery, Wooridul Spine Hospital, Gangnam-Gu, Seoul, Korea.
Orthop Clin North Am. 2007 Jul;38(3):327-37; abstract v. doi: 10.1016/j.ocl.2007.02.007.
The percutaneous endoscopic discectomy (PECD) with working channel endoscope (WSH) endoscopy set could be a safe and effective minimally invasive surgical option for non-contained cervical disc herniation in selected patients. Judicious use of the end-firing Ho: Yttrium-Aluminium-Garnet (YAG) laser for both decompressive and thermoannuloplasty effect during the percutaneous endoscopic cervical annuloplasty (PECA) is mandatory in order to prevent possible injury to spinal cord or root. Although the percutaneous cervical stabilization (PCS) using the cervical B-Twin may not completely replace the cervical arthrodesis, this minimally invasive procedure can preserve anterior structures and thereby retain segmental stability and prevent the possible kyphotic progression after fusion surgery. To our knowledge, these minimally invasive procedures for cervical spine disease may serve to minimize surgery-induced complications associated with anterior cervical discectomy and fusion (ACDF).
使用工作通道内窥镜（WSH）内镜设备进行经皮内窥镜椎间盘切除术（PECD），对于部分选定患者的非包容性颈椎间盘突出症而言，可能是一种安全有效的微创手术选择。在经皮内窥镜颈椎间盘成形术（PECA）期间，明智地使用末端发射的钬：钇铝石榴石（YAG）激光以达到减压和热椎间盘成形效果，对于防止脊髓或神经根可能受到的损伤至关重要。尽管使用颈椎B-Twin进行经皮颈椎稳定术（PCS）可能无法完全替代颈椎融合术，但这种微创手术可以保留前部结构，从而保持节段稳定性，并防止融合手术后可能出现的后凸进展。据我们所知，这些用于颈椎病的微创手术可能有助于将与颈椎前路椎间盘切除融合术（ACDF）相关的手术并发症降至最低。
