Reul Juergen
International Head and Spine Center, Beta Klinik; Bonn, Germany -
Interv Neuroradiol. 2014 Oct 31;20(5):538-46. doi: 10.15274/INR-2014-10081. Epub 2014 Oct 17.
The neurointerventional transforaminal endoscopic approach to sequestered disk herniation is a minimally invasive alternative to established microsurgical techniques. In addition to those techniques approaching the nucleus like APLD, the transforaminal approach allows the removal of dislocated sequesters in the epidural space. The main steps of the procedure are fluoroscopy-guided, so a good experience with fluoroscopy based interventional techniques is helpful, but the technique has a significant learning curve. If familiar with the different steps, it allows nearly every lumbar disk herniation to be treated with a very short hospital stay and short rehabilitation time. The paper describes in detail the steps of the procedure, the difficulties and advantages and gives a short review of the relevant literature.
神经介入经椎间孔内镜治疗游离型椎间盘突出症是一种微创替代传统显微外科技术的方法。除了那些像经皮自动腰椎间盘切除术（APLD）那样接近髓核的技术外，经椎间孔入路还能清除硬膜外间隙中移位的游离体。该手术的主要步骤由荧光透视引导，因此具备基于荧光透视的介入技术的良好经验会有帮助，但这项技术有显著的学习曲线。如果熟悉不同步骤，它能使几乎每一例腰椎间盘突出症都能在很短的住院时间和较短的康复时间内得到治疗。本文详细描述了该手术的步骤、难点和优势，并对相关文献进行了简要综述。
