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全内镜下颈椎手术。

Full endoscopic cervical spine surgery.

作者信息

Shen Jian, Telfeian Albert E, Shaaya Elias, Oyelese Adetokunbo, Fridley Jared, Gokaslan Ziya L

机构信息

Mohawk Valley Orthopedics, Amsterdam, NY, USA.

Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

出版信息

J Spine Surg. 2020 Jun;6(2):383-390. doi: 10.21037/jss.2019.10.15.

DOI:10.21037/jss.2019.10.15
PMID:32656375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7340839/
Abstract

BACKGROUND

The authors present 4 techniques for fully-endoscopic cervical spine surgery with accompanying case series: (I) posterior cervical unilateral laminectomy and bilateral decompression, (II) posterior cervical foraminotomy (PCF), (III) anterior cervical discectomy, and (IV) anterior transcorporeal discectomy.

METHODS

We retrospectively reviewed fully endoscopic cervical spine surgery cases at one high-volume endoscopic center in the United States and present clinical data extracted from endoscopic spine surgery performed over a 6-year period with a minimum clinical follow up of 1 year.

RESULTS

A series of 114 patients who underwent fully endoscopic cervical spine surgery between 2012 and 2018 is presented. Clinical results and technical data are presented.

CONCLUSIONS

Fully endoscopic cervical spine surgery is an emerging surgical technique for addressing cervical radiculopathy and myelopathy through a minimally invasive approach.

摘要

背景

作者介绍了4种全内镜下颈椎手术技术及相关病例系列:(I)颈椎后路单侧椎板切除术及双侧减压术,(II)颈椎后路椎间孔切开术(PCF),(III)颈椎前路椎间盘切除术,以及(IV)经椎体前路椎间盘切除术。

方法

我们回顾性分析了美国一家高容量内镜中心的全内镜下颈椎手术病例,并呈现了从6年期间进行的内镜脊柱手术中提取的临床数据,临床随访时间最短为1年。

结果

呈现了2012年至2018年间接受全内镜下颈椎手术的114例患者的系列病例。展示了临床结果和技术数据。

结论

全内镜下颈椎手术是一种通过微创方法治疗颈椎神经根病和脊髓病的新兴手术技术。

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本文引用的文献

1
Posterior percutaneous full-endoscopic cervical discectomy under local anesthesia for cervical radiculopathy due to soft-disc herniation: a preliminary clinical study.局部麻醉下经皮后路全内镜下治疗软性椎间盘突出所致神经根型颈椎病的初步临床研究
J Neurosurg Spine. 2018 Oct;29(4):351-357. doi: 10.3171/2018.1.SPINE17795. Epub 2018 Jun 29.
2
Endoscopic Anterior Approach for Cervical Disc Disease (Disc Preserving Surgery).内镜下前路治疗颈椎间盘疾病(保留椎间盘手术)
World Neurosurg. 2018 Jul;115:e599-e609. doi: 10.1016/j.wneu.2018.04.107. Epub 2018 Apr 24.
3
The Recovery of Motor Strength after Posterior Percutaneous Endoscopic Cervical Foraminotomy and Discectomy.后路经皮内镜下颈椎椎间孔切开术和椎间盘切除术术后运动力量的恢复
World Neurosurg. 2018 Jul;115:e532-e538. doi: 10.1016/j.wneu.2018.04.090. Epub 2018 Apr 22.
4
Reoperation and complications after anterior cervical discectomy and fusion and cervical disc arthroplasty: a study of 52,395 cases.颈椎前路椎间盘切除融合术及颈椎间盘置换术后的再次手术与并发症:一项对52395例病例的研究
Eur Spine J. 2018 Jun;27(6):1432-1439. doi: 10.1007/s00586-018-5570-8. Epub 2018 Mar 31.
5
Cervical Spondylotic Myelopathy.脊髓型颈椎病
Clin Spine Surg. 2016 Dec;29(10):408-414. doi: 10.1097/BSD.0000000000000397.
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Cervical radiculopathy: epidemiology, etiology, diagnosis, and treatment.颈神经根病:流行病学、病因、诊断与治疗
J Spinal Disord Tech. 2015 Jun;28(5):E251-9. doi: 10.1097/BSD.0000000000000284.
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Changes in cervical sagittal alignment after single-level posterior percutaneous endoscopic cervical diskectomy.单节段经皮后入路内窥镜下颈椎间盘切除术治疗后颈椎矢状位曲度的变化。
Global Spine J. 2015 Feb;5(1):31-8. doi: 10.1055/s-0034-1395423. Epub 2014 Nov 17.
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Clinical and radiographic changes after percutaneous endoscopic cervical discectomy: a long-term follow-up.经皮内镜下颈椎间盘切除术的临床及影像学改变:长期随访
Photomed Laser Surg. 2014 Dec;32(12):663-8. doi: 10.1089/pho.2014.3806.
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Anterior or posterior approach of full-endoscopic cervical discectomy for cervical intervertebral disc herniation? A comparative cohort study.颈椎间盘突出症全内镜下颈椎间盘切除术的前路或后路入路?一项比较队列研究。
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Eur Spine J. 2014 Feb;23(2):382-8. doi: 10.1007/s00586-013-3063-3. Epub 2013 Oct 19.