脊柱手术脊髓刺激器置管采用棘突劈开椎板切开术：技术说明。
Placement of Surgical Spinal Cord Stimulation Leads Using Spinal Process Splitting Laminotomy: Technical Note.
机构信息
Spine Center, Schoen Clinic, Düsseldorf, Germany.
Department of Neurosurgery, University Hospital, Bonn, Germany.
出版信息
World Neurosurg. 2021 Nov;155:109-114. doi: 10.1016/j.wneu.2021.07.146. Epub 2021 Aug 8.
OBJECTIVE
Spinal cord stimulation has become an established method within the therapy of chronic pain allowing for significant pain relief. Surgical leads usually must be implanted via a surgical procedure involving unilateral or bilateral muscle detachment and partial laminectomy.
METHODS
We present the application of a novel minimal invasive microsurgical approach for lead placement, which combines the beneficial advantages of anatomic midline lead placement while preserving the midline structures, avoiding muscle detachments, and thus ensuring spinal stability: spinal process splitting laminotomy.
CONCLUSIONS
The spinal process splitting laminotomy technique can be successfully applied to introduce the surgical leads for spinal cord stimulation.
目的
脊髓刺激已成为慢性疼痛治疗的一种既定方法，可显著缓解疼痛。手术导联通常必须通过涉及单侧或双侧肌肉分离和部分椎板切除术的手术植入。
方法
我们提出了一种新的微创显微手术方法来放置导联，该方法结合了解剖学中线导联放置的有益优势，同时保留了中线结构，避免了肌肉分离，从而确保了脊柱的稳定性：棘突劈开椎板切开术。
结论
棘突劈开椎板切开术技术可成功应用于引入脊髓刺激的手术导联。
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