Leu H J
Orthopädischen Universitätsklinik Balgrist Zürich.
Z Orthop Ihre Grenzgeb. 1990 May-Jun;128(3):266-75. doi: 10.1055/s-2008-1039992.
In the last ten years percutaneous nucleotomy (n = 148) has become a well established, sparing operative procedure in the routine treatment of contained disc herniation. This evolution has been markedly pushed by the most valuable discoscopy. This methodical complement, introduced in 1982 with biportal approach, permits a controlled dorsal decompression of the herniated disc. In correct indications over 80% of favorable results of overall outcome were obtained. With modified instruments, introduced in 1988, also a sufficient preparation of the adjacent vertebral plates for intervertebral fusion has become possible. The preliminary results of this technique - in combination to a temporary percutaneous transpedicular fixation - are encouraging also for optimal musculo-ligamentar compensation of the adjacent functional units.
在过去十年中，经皮髓核摘除术（n = 148）已成为治疗包容性椎间盘突出症常规治疗中一种成熟的、微创的手术方法。最有价值的椎间盘镜检查显著推动了这一进展。这种于1982年采用双入路引入的方法学补充，允许对突出的椎间盘进行可控的背侧减压。在正确的适应症下，总体结果的良好率超过80%。随着1988年引入的改良器械，对相邻椎板进行充分准备以进行椎间融合也成为可能。该技术的初步结果——结合临时经皮椎弓根固定——对于相邻功能单元的最佳肌肉韧带代偿也很有前景。
