Coric Domagoj, Adamson Tim
Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina 28207, USA.
Neurosurg Focus. 2008;25(2):E2. doi: 10.3171/FOC/2008/25/8/E2.
Spine surgery has seen parallel interest and development in the areas of motion preservation and minimally invasive surgery. Posterior microendoscopic laminoforaminotomy (MELF) allows for neural decompression while maintaining motion via a minimally invasive approach. This technique shares the advantage of maintenance of motion with arthroplasty, but without the need for instrumentation. Therefore, the procedure is motion preserving, minimally invasive and cost-effective. The ideal indications for posterior MELF include unilateral radiculopathy secondary to "hard disc" or spondylosis, as well as soft disc herniations. The authors present a modified surgical technique for posterior MELF as well as a case study illustrating its synergy with anterior arthroplasty.
脊柱手术在运动保留和微创手术领域有着相似的关注度和发展。后路显微内镜下椎板间孔切开术（MELF）通过微创方法在保持运动的同时实现神经减压。该技术与关节成形术一样具有保留运动的优势，但无需植入器械。因此，该手术既能保留运动、创伤小，又具有成本效益。后路MELF的理想适应症包括继发于“硬椎间盘”或脊椎关节强硬的单侧神经根病以及软性椎间盘突出症。作者介绍了一种改良的后路MELF手术技术以及一个案例研究，以说明其与前路关节成形术的协同作用。
