Xu Haidong, Jia Fengyu, Liu Yanbin, Fu Qiang
Department of Orthopedics of Jinling Hospital, Nanjing University School of Medicine, 305 Zhongshan East Rd, Nanjing, 210002, China.
Cell Biochem Biophys. 2015 Jan;71(1):243-8. doi: 10.1007/s12013-014-0190-3.
A group of lumbar discherniation cases was treated with posterior discectomy and decompression with Spotlight working channel. We retrospectively studied these patients. To study and analyze the clinical efficacy and technical features of discectomy which is carried out with the Spotlight channel technology. The development of the minimally invasive spine surgery technology promotes new instruments and materials. For minimally invasive spine surgery in channel technology, the newly launched Depuy(Spine) working channel-Spotlight, which is a new generation of wide viewing angle, single-hole device for minimally invasive spine operations, has good prospects for clinical application. From March 2011 to March 2012, 21 patients who were diagnosed with lumbar disc herniation were treated with posterior discectomy and decompression with Spotlight working channel, then the lumbar and leg pain visual analogue scale (VAS) scores of before and after surgery and that of the follow-ups and the Oswestry Disability Index were analyzed. All patients were successfully operated, and also they received follow-ups for more than 1 year. The postoperative lumbar and leg pain VAS scores improved significantly compared with the preoperative ones (P < 0.05) and can effectively maintain (P > 0.05). The three time points of lumbar pain VAS were 7.80 ± 0.49, 1.51 ± 0.52 and 1.47 ± 0.59. The leg pain VAS were 7.53 ± 0.50, 1.58 ± 0.58 and 1.49 ± 0.67. During the follow-ups of the cases in this group, no case of disc herniation relapsed. Patients were satisfied with that. The Spotlight channel system is one of the surgical approaches to "minimally invasive spine technology with direct vision". It has a good range of surgical indications. It can be carried out flexibly and used widely, which means it will be easier for the surgeons to master.
一组腰椎间盘突出症患者采用聚光灯工作通道行后路椎间盘切除术及减压术。我们对这些患者进行了回顾性研究。以研究和分析采用聚光灯通道技术进行椎间盘切除术的临床疗效和技术特点。微创脊柱外科技术的发展推动了新器械和新材料的出现。对于通道技术的微创脊柱手术，新推出的迪普伊（脊柱）工作通道——聚光灯，是新一代用于微创脊柱手术的广视角、单孔装置，具有良好的临床应用前景。2011年3月至2012年3月，21例诊断为腰椎间盘突出症的患者采用聚光灯工作通道行后路椎间盘切除术及减压术，然后分析手术前后及随访时的腰腿痛视觉模拟评分（VAS）以及奥斯威斯功能障碍指数。所有患者手术均成功，且均接受了超过1年的随访。术后腰腿痛VAS评分较术前显著改善（P<0.05）且能有效维持（P>0.05）。腰腿痛VAS的三个时间点分别为7.80±0.49、1.51±0.52和1.47±0.59。腿痛VAS分别为7.53±0.50、1.58±0.58和1.49±0.67。该组病例随访期间无椎间盘突出复发病例。患者对此满意。聚光灯通道系统是“直视下微创脊柱技术”的手术方法之一。它具有良好的手术适应证范围。操作灵活且应用广泛，这意味着外科医生更容易掌握。
