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经皮终丝脂肪松解的微创椎板间入路:我的经验分享

Minimal invasive interlaminar approach for untethering of fatty filum terminale in pediatric patients - how I do it.

机构信息

Department of Neurosurgery, University Hospital of Basel, Basel, Switzerland.

Department of Pediatric Neurosurgery, University Children's Hospital of Basel, Basel, Switzerland.

出版信息

Acta Neurochir (Wien). 2022 Jun;164(6):1481-1484. doi: 10.1007/s00701-022-05204-y. Epub 2022 Apr 22.

Abstract

BACKGROUND

Fatty filum terminale is a form of spinal dysraphism and a third of all patients develop symptoms such as sensory, motor, and urinary impairment. Early surgery at 6 months has the advantage that the bone density is still soft, and the patients are not ambulatory yet, promoting faster healing.

METHOD

We present our minimal invasive surgical technique for FFT untethering.

CONCLUSION

Due to the low complication rate and the potentially high benefit of surgery, prophylactic untethering is recommended.

摘要

背景

终丝脂肪脊是一种脊髓发育畸形,三分之一的患者会出现感觉、运动和排尿障碍等症状。6 个月时进行早期手术的优势在于骨质密度仍然较软,且患者还不会行走,有利于更快恢复。

方法

我们介绍了终丝松解的微创外科技术。

结论

由于手术并发症发生率低,潜在获益高,建议预防性松解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8c2/9160132/5b9321c4bc9e/701_2022_5204_Fig1_HTML.jpg

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