Basil Gregory W, Wang Michael Y
The Miami Project to Cure Paralysis, Department of Neurological Surgery, University of Miami School of Medicine, Miami, FL, USA.
J Spine Surg. 2019 Jun;5(Suppl 1):S108-S114. doi: 10.21037/jss.2019.04.17.
There has been a definite upward trend in outpatient minimally invasive spine (MIS) surgery over the past decade. This increasing prevalence has been driven by several factors including advanced MIS techniques, improvements in perioperative pain management, and economic necessity. There is now a myriad of different spine surgery procedures which can be effectively employed in the outpatient setting, and the concept of awake, endoscopic fusion surgery represents a notable advance in the field. Additionally, the use of multi-modality analgesic agents has shown significant promise in this arena and has become increasingly important in states where legislation affecting narcotic prescriptions have been enacted. Finally, with an aging population, the need for outpatient spine surgery has become imperative from an economic standpoint.
在过去十年中，门诊微创脊柱（MIS）手术呈明显上升趋势。这种患病率的上升受到多种因素驱动，包括先进的MIS技术、围手术期疼痛管理的改善以及经济需求。目前有多种不同的脊柱手术程序可有效地用于门诊环境，而清醒内镜融合手术的概念代表了该领域的一项显著进展。此外，多模式镇痛剂的使用在这一领域已显示出巨大潜力，并且在已颁布影响麻醉处方的立法的州变得越来越重要。最后，随着人口老龄化，从经济角度来看，门诊脊柱手术的需求变得势在必行。
