Banczerowski Péter, Czigléczki Gábor, Papp Zoltán, Veres Róbert, Rappaport Harry Zvi, Vajda János
National Institute of Neurosurgery, Amerikai út 57, Budapest, 1145, Hungary,
Neurosurg Rev. 2015 Jan;38(1):11-26; discussion 26. doi: 10.1007/s10143-014-0565-3. Epub 2014 Sep 10.
Minimally invasive procedures in spine surgery have undergone significant development in recent times. These procedures have the common aim of avoiding biomechanical complications associated with some traditional destructive methods and improving efficacy. These new techniques prevent damage to crucial posterior stabilizers and preserve the structural integrity and stability of the spine. The wide variety of reported minimally invasive methods for different pathologies necessitates a systematic classification. In the present review, authors first provide a classification system of minimally invasive techniques based on the location of the pathologic lesion to be treated, to help the surgeon in selecting the appropriate procedure. Minimally invasive techniques are then described in detail, including technical features, advantages, complications, and clinical outcomes, based on available literature.
近年来,脊柱外科的微创手术取得了显著进展。这些手术的共同目标是避免与一些传统破坏性方法相关的生物力学并发症并提高疗效。这些新技术可防止对关键的后稳定结构造成损伤,并保持脊柱的结构完整性和稳定性。针对不同病理情况所报道的多种微创手术方法需要进行系统分类。在本综述中,作者首先基于待治疗病理病变的位置提供了一个微创手术技术分类系统,以帮助外科医生选择合适的手术方法。然后根据现有文献详细描述了微创手术技术,包括技术特点、优势、并发症和临床结果。