Hussain Ibrahim, Kirnaz Sertac, Wibawa Gibran, Wipplinger Christoph, Härtl Roger
Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, 525 East 68th Street, Box 99, New York, NY 10065, USA.
Department of Neurological Surgery, Weill Cornell Medical College, New York Presbyterian Hospital, 525 East 68th Street, Box 99, New York, NY 10065, USA.
Neurosurg Clin N Am. 2019 Jul;30(3):305-312. doi: 10.1016/j.nec.2019.02.004. Epub 2019 Apr 19.
The unilateral laminotomy for bilateral decompression initially was described in the late 1990s and has evolved in conjunction with minimally invasive surgical instrumentation. This technique has been shown to significantly improve bilateral symptoms regardless of the side of approach. It also can be used for multilevel decompressions using the slalom technique with alternating lateralizing sites of access. The over-the-top technique involving a unilateral approach for bilateral decompression helps preserve the posterior tension band and can accomplish the operative goals with better clinical outcomes than traditional open approaches.
双侧减压的单侧椎板切开术最初于20世纪90年代末被描述，并随着微创外科器械的发展而不断演变。无论手术入路在哪一侧，该技术都已被证明能显著改善双侧症状。它还可用于采用“之”字形技术进行多节段减压，交替进行侧方入路。涉及双侧减压的单侧入路的“过头”技术有助于保留后张力带，并且与传统开放手术相比，能以更好的临床效果实现手术目标。
