Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Department of Orthopedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
World Neurosurg. 2021 Jan;145:708-711. doi: 10.1016/j.wneu.2020.05.238. Epub 2020 Jun 1.
With the health care environment becoming increasingly patient centric and cost-conscious, interest levels in spinal endoscopy are at an all-time high. Patient demand for the least invasive procedures combined with surgeon desire to maximally shorten the postoperative recovery period has further driven this surgical evolution. Mounting scientific evidence demonstrates the noninferiority and perhaps even superiority of endoscopic techniques to more conventional spinal surgery for the treatment of spinal stenosis and disc herniations. Although higher level evidence is much needed to support the clinical utility of the latest endoscopic techniques and surgical indications, it appears that the entrance of spinal endoscopy into the mainstream arena of spinal surgery is inevitable.
随着医疗保健环境越来越以患者为中心和注重成本，对脊柱内窥镜检查的兴趣达到了历史最高水平。患者对微创程序的需求，加上外科医生希望最大限度地缩短术后恢复期，进一步推动了这种手术的发展。越来越多的科学证据表明，内窥镜技术在治疗椎管狭窄和椎间盘突出症方面与更传统的脊柱手术相比具有非劣效性，甚至可能具有优越性。虽然需要更高水平的证据来支持最新内窥镜技术和手术适应证的临床实用性，但脊柱内窥镜检查进入脊柱手术的主流领域似乎是不可避免的。
