Beisse Rudolf
Department of Neurosurgery, University of Utah, Salt Lake City, UT 84132, USA.
Orthop Clin North Am. 2007 Jul;38(3):419-29; abstract vii. doi: 10.1016/j.ocl.2007.02.008.
The thoracolumbar junction is the most common region of the spine to be affected by injuries. Acute instability with structural damage to the anterior load-bearing spinal column and posttraumatic deformity represent the most frequent indications for surgery. A standardized operating technique with instruments and implants specially developed for the endoscopic procedure, ranging from an angled, stable plate and screw implant to endoscopically implantable vertebral body replacements, have gradually opened up the entire spectrum of anterior spine surgery to endoscopic techniques at the thoracolumbar junction.
胸腰段交界处是脊柱最常受损伤影响的区域。前负荷脊柱柱结构损伤导致的急性不稳定和创伤后畸形是最常见的手术指征。一种标准化的手术技术,以及专门为内镜手术开发的器械和植入物,从成角的、稳定的钢板和螺钉植入物到可内镜植入的椎体置换物,逐渐将胸腰段交界处的整个前路脊柱手术领域向内镜技术开放。