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经皮椎间孔内镜下椎间盘切除术治疗坐骨神经痛的九岁患者:病例报告、技术说明及文献回顾。

Percutaneous transforaminal endoscopic discectomy in a nine-year-old patient with sciatica: case report, technical note and overview of the literature.

机构信息

Department of Neurosurgery, Park MC, Hoofdweg 90, Rotterdam, The Netherlands.

Department of Neurosurgery, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.

出版信息

Childs Nerv Syst. 2021 Jul;37(7):2343-2346. doi: 10.1007/s00381-021-05135-6. Epub 2021 Mar 27.

Abstract

Percutaneous transforaminal endoscopic discectomy (PTED) is an alternative procedure to open microdiscectomy (OM) to treat sciatica caused by lumbar disk herniation. Even though robust evidence comparing PTED with OM is lacking, PTED is becoming increasingly popular to treat spinal disorders. In this technical report, the surgical technique and outcomes of PTED in a 9-year-old patient are described. Furthermore, an overview of the literature on full-endoscopic techniques to treat sciatica is given, showing that PTED is feasible, safe and effective to treat lumbar disk herniation in the pediatric population.

摘要

经皮椎间孔内镜椎间盘切除术(PTED)是一种替代开放式显微椎间盘切除术(OM)的手术方法,用于治疗腰椎间盘突出症引起的坐骨神经痛。尽管缺乏比较 PTED 与 OM 的强有力证据,但 PTED 治疗脊柱疾病的应用越来越受欢迎。在本技术报告中,描述了 1 例 9 岁患者行 PTED 的手术技术和结果。此外,还对治疗坐骨神经痛的全内镜技术的文献进行了综述,结果表明,PTED 治疗儿童腰椎间盘突出症是可行、安全和有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13aa/8263397/fed178389669/381_2021_5135_Fig1_HTML.jpg

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