Kotheeranurak Vit, Lin Guang-Xun, Mahatthanatrakul Akaworn, Kim Jin-Sung
Department of Orthopedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand.
Department of Neurosurgery, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
World Neurosurg. 2019 Feb;122:469-473. doi: 10.1016/j.wneu.2018.10.029. Epub 2018 Oct 12.
We sought to describe a novel technique in managing a patient with adjacent segment disease at the L5/S1 level.
We performed an endoscope-assisted anterior lumbar interbody fusion with computed tomography-guided, image-navigated unilateral cortical bone trajectory screw fixation to treat L5/S1 intervertebral disk pathology.
Patient was successfully treated by a direct endoscopic decompression through the anterior access, interbody fusion using an anterior lumbar interbody fusion cage, unilateral cortical bone trajectory instrumentation under computed tomography-guided image navigation.
This minimally invasive technique is effective in terms of decompression and fixation. It could be used as an alternative method to treat patients with L5/S1 adjacent segment disease.
我们试图描述一种治疗L5/S1节段相邻节段疾病患者的新技术。
我们采用内镜辅助下前路腰椎椎间融合术，并结合计算机断层扫描引导、图像导航下的单侧皮质骨轨迹螺钉固定术，以治疗L5/S1椎间盘病变。
通过前路直接内镜减压、使用前路腰椎椎间融合器进行椎间融合、在计算机断层扫描引导的图像导航下进行单侧皮质骨轨迹内固定，患者得到成功治疗。
这种微创技术在减压和固定方面是有效的。它可作为治疗L5/S1相邻节段疾病患者的一种替代方法。
