Department of Neurological Surgery, University of Miami Miller School of Medicine, Lois Pope Life Center, 1095 Northwest 14th Terrace, Miami, FL 33136, USA.
Department of Neurological Surgery, University of Miami Miller School of Medicine, 1095 Northwest 14th Terrace, Miami, FL 33136, USA.
Neurosurg Clin N Am. 2020 Jan;31(1):17-24. doi: 10.1016/j.nec.2019.08.002. Epub 2019 Oct 15.
Spine surgeons have recently developed more advanced and less invasive techniques. One significant example of recent surgical innovation is the advent of endoscopic-assisted spine surgery. Endoscopic lumbar interbody fusions are increasingly used to treat lumbar degenerative disease in a minimally invasive approach that minimizes pain and maximizes outcomes. Numerous technical refinements to ultraminimally invasive approaches have occurred since their initial use, which has resulted in substantial clinical benefit for patients that remains stable over time. Serious complications can occur and thus, the spine surgeon adopting endoscopic techniques must be aware of the early learning curve.
脊柱外科医生最近开发了更先进、创伤更小的技术。最近手术创新的一个重要例子是内镜辅助脊柱手术的出现。内镜下腰椎体间融合术越来越多地用于微创治疗腰椎退行性疾病,最大限度地减少疼痛并获得最佳效果。自最初使用以来,超微创入路发生了许多技术改进,为患者带来了持续稳定的显著临床获益。严重的并发症可能会发生,因此,采用内镜技术的脊柱外科医生必须了解早期学习曲线。