Amoretti Nicolas, Gallo Giacomo, Nicolas Stacoffe, Federico Torre, Theumann Nicolas, Guinebert Sylvain, Thouvenin Yann, Cornelis François, Hauger Olivier
Nice University Hospital, Pasteur Hospital, Nice, France.
Bois-Cerf Radiology Institute, Lausanne, Switzerland.
Semin Intervent Radiol. 2018 Oct;35(4):255-260. doi: 10.1055/s-0038-1673361. Epub 2018 Nov 5.
The combination of a new device and dual guidance (computed tomography [CT] and fluoroscopy) is similar to other percutaneous devices in achieving a mechanical decompression of the disc. The difference, however, is that the target of the decompression with the current technique is the herniated disc itself. The goal of this combined technique is to create a space, an "olive" around the probe, allowing a decrease in pressure inside the hernia. Percutaneous discectomy under combined CT and fluoroscopic guidance is a minimally invasive spine surgery that should be considered as an alternative to surgery in properly selected patients.
一种新设备与双重引导（计算机断层扫描[CT]和荧光透视）相结合，在实现椎间盘机械减压方面与其他经皮设备类似。然而，不同之处在于，当前技术减压的目标是突出的椎间盘本身。这种联合技术的目标是在探头周围创造一个空间，即一个“橄榄形区域”，以降低疝内压力。在CT和荧光透视联合引导下进行经皮椎间盘切除术是一种微创脊柱手术，在适当选择的患者中应被视为手术的替代方案。
