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德斯唐多技术下颈椎前路椎间孔切开术的内镜解剖与特征

Endoscopic Anatomy and Features of Anterior Cervical Foraminotomy by Destandau Technique.

作者信息

Mostofi Keyvan, Khouzani Reza Karimi

机构信息

Department of Neurosurgery, Centre Clinical, Chirurgie de Rachis, Soyaux, France.

Department of Neurosurgery, International Neurosciences Institute, Hannover, Germany.

出版信息

Open Access Maced J Med Sci. 2016 Dec 15;4(4):650-653. doi: 10.3889/oamjms.2016.106. Epub 2016 Nov 22.

DOI:10.3889/oamjms.2016.106
PMID:28028407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5175515/
Abstract

BACKGROUND

Minimally invasive spine surgery limits surgical trauma and avoids traditional open surgery so in the majority of cases, recovery is much quicker and patients have less pain after surgery.

AIM

The authors describe an endoscopic approach to anterior cervical foraminotomy (ACF) by Destandau's method.

MATERIAL AND METHODS

Anterior cervical foraminotomy by Destandau's method is carried out under general anaesthesia. A 3 cm transverse skin incision is used just slightly past the anterior border of the sternocleidomastoid's muscle laterally. After exposing and dissecting superficial cervical fascia, platysma muscle, and deep cervical fascia, Endospine material designed by Destandau will be inserted. As from this moment, the procedure will continue using endoscopy.

RESULTS

the Endoscopic approach to anterior cervical foraminotomy by Destandau's method offers a convenient access to the cervical foraminal stenosis with fewer complications and negligible morbidity and gives maximum exposure to discal space with the goal of minimising cutaneous incision.

CONCLUSION

Contrary to the other minimally invasive approaches, the visual field in foraminotomy by Destandau technique is broad and depending on the workability of Endospine an adequate access to cervical disc is possible.

摘要

背景

微创脊柱手术减少了手术创伤,避免了传统的开放手术,因此在大多数情况下,恢复更快,患者术后疼痛减轻。

目的

作者描述了一种采用德斯唐多方法的内镜下前路颈椎椎间孔切开术(ACF)。

材料与方法

采用德斯唐多方法的前路颈椎椎间孔切开术在全身麻醉下进行。在胸锁乳突肌外侧缘稍后方做一个3厘米的横向皮肤切口。暴露并解剖颈浅筋膜、颈阔肌和颈深筋膜后,插入德斯唐多设计的脊柱内镜材料。从此时起,手术将继续使用内镜进行。

结果

采用德斯唐多方法的内镜下前路颈椎椎间孔切开术为颈椎椎间孔狭窄提供了便捷的入路,并发症更少,发病率可忽略不计,并能最大程度地暴露椎间盘间隙,以尽量减少皮肤切口。

结论

与其他微创方法不同,德斯唐多技术的椎间孔切开术视野开阔,根据脊柱内镜的可操作性,有可能充分暴露颈椎间盘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/d7e2596bbb0a/OAMJMS-4-650-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/720dfabe1758/OAMJMS-4-650-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/cf920ee99e35/OAMJMS-4-650-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/bd956282aabf/OAMJMS-4-650-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/8380ba12edf6/OAMJMS-4-650-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/bb2af9d7f30c/OAMJMS-4-650-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/d7e2596bbb0a/OAMJMS-4-650-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/720dfabe1758/OAMJMS-4-650-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/cf920ee99e35/OAMJMS-4-650-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/bd956282aabf/OAMJMS-4-650-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/8380ba12edf6/OAMJMS-4-650-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/bb2af9d7f30c/OAMJMS-4-650-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701a/5175515/d7e2596bbb0a/OAMJMS-4-650-g006.jpg

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