Konovalov N A, Nazarenko A G, Asyutin D S, Zelenkov P V, Onoprienko R A, Korolishin V A, Cherkiev I U, Martynova M A, Zakirov B A, Timonin S Yu, Kosyr'kova A V, Pimenova L F, Pogosyan A L, Batyrov A A
Burdenko Neurosurgical Institute, Moscow, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2016;80(4):102-108. doi: 10.17116/neiro2016804102-108.
Many researchers consider degenerative diseases of the spine as a pandemic of the XXIst century. Herniated intervertebral discs of the lumbosacral spine occur in 61% of patients with degenerative spine diseases. Of these, 15% of patients have herniated discs at the LII-LIII level, 10% of patients at the LIII-LIV level, and 40% of patients at the LIV-LV and LV-SI levels. A high cost of conservative treatment of degenerative spine disease symptoms and its low efficacy in reducing the intensity and duration of pain necessitate the development of new methods of surgical treatment. In this paper, we analyze the literature data on minimally invasive spine surgery and demonstrate the main advantages of percutaneous endoscopic surgical techniques.
许多研究人员认为脊柱退行性疾病是21世纪的大流行病。腰骶部脊柱椎间盘突出症在脊柱退行性疾病患者中占61%。其中,15%的患者在LII-LIII节段出现椎间盘突出,10%的患者在LIII-LIV节段出现,40%的患者在LIV-LV和LV-SI节段出现。脊柱退行性疾病症状的保守治疗成本高昂,且在减轻疼痛强度和持续时间方面效果不佳,因此需要开发新的手术治疗方法。在本文中,我们分析了有关微创脊柱手术的文献数据,并展示了经皮内镜手术技术的主要优势。