经外侧入路治疗胸椎间盘病变：微创入路与导航技术的进展
Management of Thoracic Disc Pathology via the Lateral Approach: Advances Using the Minimally Invasive Approach and Navigation.
作者信息
Shabani Saman, Mummaneni Praveen V, Chan Andrew, Huang Jeremy, Agarwal Nitin, Deviran Vedat, Chou Dean
机构信息
Department of Neurological Surgery, University of California, San Francisco, CA, USA
Department of Neurological Surgery, University of California, San Francisco, CA, USA.
出版信息
Int J Spine Surg. 2022 Mar;16(S1):S44-S52. doi: 10.14444/8235.
Abstract
Historically, thoracic disc pathology has been treated via open thoracotomy or open posterior costotransversectomy or lateral extracavitary approaches. However, these approaches are associated with approach-related morbidity. With advancement in such minimally invasive approaches as the lateral interbody fusion coupled with navigation, the morbidity of approaching anterior thoracic spinal pathology may be reduced. There are subtleties and nuances in the thoracic approaches that are different from the lateral lumbar interbody approaches. We discuss our technique of the minimally invasive approach to the thoracic spine, management of the rib and pleura, and incorporation of navigation into the procedure.
摘要
从历史上看，胸椎椎间盘病变一直通过开胸手术、开胸后路肋横突切除术或外侧腔外入路进行治疗。然而，这些入路与手术相关的发病率有关。随着诸如外侧椎间融合术联合导航等微创方法的进步，处理胸椎前路病变的发病率可能会降低。胸椎入路存在一些与外侧腰椎椎间入路不同的细微之处和差别。我们讨论了胸椎微创入路技术、肋骨和胸膜的处理以及将导航纳入手术过程。
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