Savitz M H
Department of Surgery, Good Samaritan Hospital, Rockland County, New York.
Mt Sinai J Med. 1991 Mar;58(2):165-7.
Minilaminotomy as an alternative to microdiskectomy or standard laminectomy has been performed at two community hospitals on 1000 patients over a period of 10 years. The operative technique, employing simple prone positioning, a 4-cm incision, standard instruments, X-ray guidance, a fiberoptic head light, and 4.5 x binocular loupes, has not changed since 1986, when the initial series of 200 cases was published. The overall results in 800 additional patients continued to compare favorably to all reported series of microdiskectomy: minimal blood loss, less narcotic requirement, fewer days in the hospital, earlier return to normal activity, no wound infection, and low rate of second surgery.
在两家社区医院，在10年时间里对1000例患者实施了小切口椎板切除术，作为显微椎间盘切除术或标准椎板切除术的替代方法。自1986年发表最初200例病例系列以来，手术技术一直未变，采用简单的俯卧位、4厘米切口、标准器械、X线引导、纤维光头灯和4.5倍双目放大镜。另外800例患者的总体结果继续优于所有已报道的显微椎间盘切除术系列：失血量极少、麻醉需求更少、住院天数更少、更早恢复正常活动、无伤口感染且二次手术率低。
