Moammer Gemah, Rehman Yasir, Abolfotouh Sameh
McMaster University, Grand River Hospital, Kitchener, ON, Canada.
Health Research Methodology, McMaster University, Hamilton, ON, Canada.
Ann Med Surg (Lond). 2020 May 12;55:62-65. doi: 10.1016/j.amsu.2020.04.037. eCollection 2020 Jul.
The purpose of this new approach is to develop a method that is less invasive as well as less traumatic and can provide a better exposure/view of the surgical field. Postoperatively, the patient has less pain, short hospital stay and less use of the postoperative pain control medications. As compared to other minimally invasive spine surgeries this approach results in less soft tissue damage, minimal muscle destruction, less retraction and better surgical outcome.
In this article authors focus on the new approach that has cost effective benefits as well as short recovery time postoperatively.
Approach is applicable for severe spinal stenosis as compared to other Minimally Invasive Spine Surgery (MISS) techniques that are only applicable for the mild to moderate stenosis or degenerative processes. This plane is avascular plane so no or less bleeding is anticipated from this procedure.
The technique facilitates bilateral canal enlargement through unilateral approach and provides accessibility to the contralateral foramen for decompression with perfect exposure and allows instrumentation through the lateral window with no muscle destruction.
这种新方法的目的是开发一种侵入性较小、创伤较小且能更好地暴露/观察手术视野的方法。术后，患者疼痛减轻、住院时间缩短且术后止痛药物使用减少。与其他微创脊柱手术相比，这种方法导致的软组织损伤更少、肌肉破坏最小、牵开程度更小且手术效果更好。
在本文中，作者重点关注具有成本效益优势且术后恢复时间短的新方法。
与其他仅适用于轻度至中度狭窄或退行性病变的微创脊柱手术（MISS）技术相比，该方法适用于严重的脊柱狭窄。此平面为无血管平面，因此预计该手术不会出血或出血较少。
该技术通过单侧入路便于双侧椎管扩大，可进入对侧椎间孔进行减压，暴露完美，且允许通过外侧窗口进行器械操作而不破坏肌肉。
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