Krzok Guntram, Telfeian Albert E, Wagner Ralf, Hofstetter Christoph P, Iprenburg Menno
SRH Hospital Waltershausen, Friedrichroda, Germany.
Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
J Spine Surg. 2017 Jun;3(2):260-266. doi: 10.21037/jss.2017.06.11.
Lumbar lateral recess stenosis that results from a degenerative bulging of the disc and overgrowth of the facet is a very common cause for lumbar radiculopathy in the elderly. The standard surgical treatment for symptomatic lumbar lateral recess stenosis often requires a laminectomy or hemi-laminectomy and medial facetectomy which can further destabilize a pathological motion segment. The authors present here a novel technique for contralateral endoscopic access to the lateral recess pathology that is truly minimally invasive and spares most of the facet joint complex: 6 patient cases are described where lateral recess stenosis pathology was accessed from a contralateral sublaminar endoscopic approach.
因椎间盘退变膨出和小关节增生导致的腰椎侧隐窝狭窄是老年人腰椎神经根病的常见病因。有症状的腰椎侧隐窝狭窄的标准手术治疗通常需要进行椎板切除术或半椎板切除术以及内侧小关节切除术，这可能会进一步破坏病变运动节段的稳定性。本文作者介绍了一种用于经对侧内镜进入侧隐窝病变的新技术，该技术真正微创且保留了大部分小关节复合体：描述了6例通过对侧椎板下内镜入路治疗侧隐窝狭窄病变的病例。
