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经对侧入路行单侧双门内镜减压治疗不对称性腰椎管狭窄症：技术说明

Unilateral Bi-portal Endoscopic Decompression via the Contralateral Approach in Asymmetric Spinal Stenosis: A Technical Note.

作者信息

Kim Jin-Sung, Park Cheol-Woong, Yeung Yip-Kan, Suen Tsz-King, Jun Su Gi, Park Jung-Hoon

机构信息

Department of Neurosurgery, Spine Center, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Department of Spinal Surgery, Daejeon Woori Hospital, Daejeon, Korea.

出版信息

Asian Spine J. 2021 Oct;15(5):688-700. doi: 10.31616/asj.2020.0119. Epub 2020 Nov 16.

DOI:10.31616/asj.2020.0119
PMID:33189115
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8561150/
Abstract

We discuss the technical details and operative advantages of approaching pathologies from the contralateral side in cases of asymmetric spinal stenosis. The contralateral approach offers better manipulative freedom and a more accessible target approach along the plane of the pathology, allowing safer decompression and facet preservation; further, this approach is ergonomic for surgeons. We recommend the adoption of this approach in decompressing asymmetric spinal stenosis.

摘要

我们讨论了在不对称性椎管狭窄病例中从对侧入路处理病变的技术细节和手术优势。对侧入路提供了更好的操作自由度，并且沿着病变平面有更易到达的目标入路，从而实现更安全的减压和小关节保留；此外，这种入路对外科医生来说符合人体工程学。我们建议在对不对称性椎管狭窄进行减压时采用这种入路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/198704042704/asj-2020-0119f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/2091518eb421/asj-2020-0119f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/3fd2bc4185da/asj-2020-0119f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/80b8a421f596/asj-2020-0119f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/dcb84bba6510/asj-2020-0119f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/1a7aa0668496/asj-2020-0119f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/41b138f9d86b/asj-2020-0119f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/ef0f601cbb22/asj-2020-0119f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/5c5c9f84485b/asj-2020-0119f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/dabd587e5b87/asj-2020-0119f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/198704042704/asj-2020-0119f10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/2091518eb421/asj-2020-0119f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/3fd2bc4185da/asj-2020-0119f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/80b8a421f596/asj-2020-0119f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/dcb84bba6510/asj-2020-0119f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/1a7aa0668496/asj-2020-0119f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/41b138f9d86b/asj-2020-0119f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/ef0f601cbb22/asj-2020-0119f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/5c5c9f84485b/asj-2020-0119f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/dabd587e5b87/asj-2020-0119f9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/776b/8561150/198704042704/asj-2020-0119f10.jpg

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2
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