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全内镜下腰椎椎间融合术(FELIF):技术说明

Full endoscopic lumbar interbody fusion (FELIF): technical note.

作者信息

Youn Myung Soo, Shin Jong Ki, Goh Tae Sik, Lee Jung Sub

机构信息

Department of Orthopaedic Surgery, Myungeun Hospital, 184 World Cup-daero, Yeonje-gu, Busan, 47521, South Korea.

Department of Orthopaedic Surgery, Biomedical Research Institute, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan, 49241, South Korea.

出版信息

Eur Spine J. 2018 Aug;27(8):1949-1955. doi: 10.1007/s00586-018-5521-4. Epub 2018 Feb 14.

Abstract

PURPOSE

Interbody fusion by open discectomy is the usual treatment for degenerative lumbar disease but requires a relatively long recovery period. Prevalent several interbody fusion methods have shown limitations by its own character. Full endoscopic lumbar interbody fusion (FELIF) has advantages in direct decompression of pathology with minimal invasive technique. We report novel technique of endoscopic fusion method through full guided with endoscopic view monitoring system.

METHODS

The authors provide an introduction of FELIF technique followed by a description of the technical steps with discussion on its indications and advantages. In particular, tips to shorten operation time, simplify technical steps, and avoid complications are also presented.

CONCLUSIONS

FELIF is a safe and effective interbody fusion option to decompress the lumbar exiting nerve root and ventral side of dura directly with minimal invasive situation. These slides can be retrieved under Electronic Supplementary Material.

摘要

目的

通过开放椎间盘切除术进行椎间融合是治疗退行性腰椎疾病的常用方法,但需要较长的恢复期。现有的几种椎间融合方法都因其自身特点存在局限性。全内镜下腰椎椎间融合术(FELIF)在运用微创技术直接解除病变方面具有优势。我们报告了一种在内镜视野监测系统全程引导下的内镜融合新技术。

方法

作者先介绍了FELIF技术,随后描述了技术步骤,并讨论了其适应证和优势。特别还介绍了缩短手术时间、简化技术步骤及避免并发症的技巧。

结论

FELIF是一种安全有效的椎间融合选择,能在微创条件下直接解除腰椎出口神经根及硬脊膜腹侧的压迫。这些幻灯片可在电子补充材料中获取。

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