McGowan Jason E, Ricks Christian B, Kanter Adam S
Georgetown University, Washington, DC, USA.
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Neurosurg Clin N Am. 2017 Jan;28(1):157-162. doi: 10.1016/j.nec.2016.08.010.
The role for minimally invasive surgery (MIS) continues to expand in the management of spinal pathology. In the setting of trauma, operative techniques that can minimize morbidity without compromising clinical efficacy have significant value. MIS techniques are associated with decreased intraoperative blood loss, operative time, and morbidity, while providing patients with comparable outcomes when compared with conventional open procedures. MIS interventions further enable earlier mobilization, decreased hospital stay, decreased pain, and an earlier return to baseline function when compared with traditional techniques. This article reviews patient selection and select MIS techniques for those who have suffered traumatic spinal injury.
微创手术(MIS)在脊柱疾病治疗中的作用持续扩大。在创伤情况下,能在不影响临床疗效的同时将发病率降至最低的手术技术具有重要价值。MIS技术与术中出血量减少、手术时间缩短和发病率降低相关,与传统开放手术相比,能为患者带来相当的治疗效果。与传统技术相比,MIS干预还能使患者更早活动、缩短住院时间、减轻疼痛并更早恢复至基线功能。本文综述了创伤性脊柱损伤患者的选择标准以及一些选定的MIS技术。