Armin Sean S, Holly Langston T, Khoo Larry T
Department of Neurosurgery, Comprehensive Spine Center, University of California Los Angeles, Santa Monica, California 90404, USA.
Neurosurg Focus. 2008;25(2):E11. doi: 10.3171/FOC/2008/25/8/E11.
For decades, lumbar disc herniation and lumbar stenosis have been treated surgically via traditional open techniques. With recent emphasis on minimally invasive approaches in spine surgery, a number of new techniques has been introduced that are aimed at treating these 2 common pathological conditions. Currently the most widely used and efficacious minimally invasive technique for treating these disorders is direct decompression with minimally invasive surgery. Due to the scarcity of large randomized studies, however, it is difficult to compare the effectiveness and possible superiority of this technique with traditional decompression. Further studies are needed to evaluate this issue.
几十年来,腰椎间盘突出症和腰椎管狭窄症一直通过传统的开放技术进行手术治疗。随着最近脊柱手术中对微创方法的重视,已经引入了一些旨在治疗这两种常见病理状况的新技术。目前,治疗这些疾病最广泛使用且有效的微创技术是微创手术直接减压。然而,由于大型随机研究的匮乏,很难将该技术的有效性及可能的优越性与传统减压术进行比较。需要进一步的研究来评估这个问题。