Department of Orthopaedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China.
J Healthc Eng. 2021 Mar 6;2021:5521916. doi: 10.1155/2021/5521916. eCollection 2021.
With the development of minimally invasive spine concepts and the introduction of new minimally invasive instruments, minimally invasive spine technology, represented by foraminoscopy, has flourished, and percutaneous foraminoscopy has become one of the most reliable minimally invasive procedures for the treatment of lumbar disc herniation. Percutaneous foraminoscopy is a safe and effective minimally invasive spinal endoscopic surgical technique. It fully protects the paravertebral muscles and soft tissues as well as the posterior column structure of the spine, provides precise treatment of the target nucleus pulposus tissue, with the advantages of less surgical trauma, fewer postoperative complications, and rapid postoperative recovery, and is widely promoted and used in clinical practice. In this paper, we can view the location, morphology, structure, alignment, and adjacency relationships by performing coronary, CT, and diagonal reconstruction along the attachment of the yellow ligaments and performing 3D reconstruction or processing techniques after performing CT scans. This allows clinicians to observe the laminoplasty and the stenosis of the vertebral canal in a more intuitive and overall manner. It has clinical significance for the display of the sublaminar spine as well as the physician's judgment of the disease and the choice of surgery.
随着微创脊柱理念的发展和新型微创器械的引入，以椎间孔镜技术为代表的微创脊柱技术蓬勃发展，经皮椎间孔镜技术已成为治疗腰椎间盘突出症最可靠的微创方法之一。经皮椎间孔镜是一种安全有效的微创脊柱内镜手术技术。它充分保护了脊柱旁的肌肉和软组织以及脊柱的后柱结构，对目标髓核组织进行精准治疗，具有手术创伤小、术后并发症少、术后恢复快等优点，在临床实践中得到了广泛的推广和应用。本文通过对黄韧带附着处行冠状位、CT 及斜位重建，行 CT 扫描后行 3D 重建或处理技术，可观察到棘突、棘间韧带、黄韧带的位置、形态、结构、排列及毗邻关系，使临床医生更直观、全面地观察到椎管狭窄和椎板切开术，对脊柱板下结构的显示及医生对疾病的判断和手术方式的选择具有重要的临床意义。
