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单侧双通道内镜下椎板切除术联合侧块螺钉固定治疗颈椎管狭窄症。

Unilateral biportal endoscopic laminectomy with lateral mass screw fixation for treating cervical spinal stenosis.

机构信息

Department of Orthopaedics, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University, Tiyuchang Road No. 453, Hangzhou, 310007, China.

Nursing Department of Operating Room, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University, Tiyuchang Road No. 453, Hangzhou, 310007, China.

出版信息

Acta Neurochir (Wien). 2022 Jun;164(6):1529-1533. doi: 10.1007/s00701-022-05212-y. Epub 2022 Apr 29.

DOI:10.1007/s00701-022-05212-y
PMID:35486201
Abstract

BACKGROUND

The unilateral biportal endoscopic (UBE) technique is less invasive and has a faster recovery time than open surgery. Compared with the uniportal technique, the biportal technique has a larger field of vision and a wider operation range.

METHOD

We attempted the posterior UBE approach for cervical stenosis at the C4-C6 levels. UBE decompression of C4-C6 with unilateral lateral mass screw fixation at the C4-C5 levels was performed under general anesthesia.

CONCLUSIONS

We successfully performed cord decompression at the C4-C6 levels using the UBE technique. This approach could be used as an alternative method to treat cervical stenosis with instability.

摘要

背景

单侧双通道内镜(UBE)技术比开放手术具有更小的侵入性和更快的恢复时间。与单通道技术相比,双通道技术具有更大的视野和更宽的操作范围。

方法

我们尝试了 C4-C6 水平的颈椎狭窄的后路 UBE 入路。在全身麻醉下,在 C4-C5 水平行单侧侧块螺钉固定行 C4-C6 的 UBE 减压。

结论

我们成功地使用 UBE 技术在 C4-C6 水平进行了脊髓减压。该方法可作为治疗不稳定型颈椎狭窄的一种替代方法。

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本文引用的文献

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The Biportal Endoscopic Posterior Cervical Inclinatory Foraminotomy for Cervical Radiculopathy: Technical Report and Preliminary Results.双门内镜下颈椎后倾式椎间孔切开术治疗神经根型颈椎病:技术报告及初步结果
Neurospine. 2020 Jul;17(Suppl 1):S145-S153. doi: 10.14245/ns.2040228.114. Epub 2020 Jul 31.
2
Comparison of clinical outcomes of expansive open-door laminoplasty with unilateral or bilateral fixation and fusion for treating cervical spondylotic myelopathy: a multi-center prospective study.单侧或双侧固定融合的扩大开门式椎板成形术治疗脊髓型颈椎病的临床疗效比较:一项多中心前瞻性研究
BMC Surg. 2019 Aug 22;19(1):116. doi: 10.1186/s12893-019-0583-8.
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经两种不同入路行单侧双通道内镜治疗高位腰椎间盘突出症:技术要点。
BMC Musculoskelet Disord. 2024 May 10;25(1):367. doi: 10.1186/s12891-024-07339-8.
4
Biportal endoscopic cervical open-door laminoplasty to treat cervical spondylotic myelopathy.经双门户内镜颈椎开门椎管扩大成形术治疗脊髓型颈椎病。
Acta Neurochir (Wien). 2024 Apr 17;166(1):182. doi: 10.1007/s00701-024-06076-0.
5
Pin-assisted retraction technique in unilateral biportal endoscopic discectomy: a retrospective cohort study.辅助牵引技术在单侧双通道内镜下椎间盘切除术的应用:一项回顾性队列研究。
J Int Med Res. 2023 Aug;51(8):3000605231164006. doi: 10.1177/03000605231164006.
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[Advances in surgical strategies for ossification of posterior longitudinal ligament involving the C segment].[涉及颈椎节段的后纵韧带骨化症手术策略的进展]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023 Jun 15;37(6):742-747. doi: 10.7507/1002-1892.202302039.
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Neurospine. 2023 Mar;20(1):43-55. doi: 10.14245/ns.2346236.118. Epub 2023 Mar 31.
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Medicina (Kaunas). 2023 Feb 7;59(2):305. doi: 10.3390/medicina59020305.
Prevalence of axial symptoms after posterior cervical decompression: a meta-analysis.
颈椎后路减压术后轴向症状的患病率:一项荟萃分析。
Eur Spine J. 2016 Jul;25(7):2302-10. doi: 10.1007/s00586-016-4524-2. Epub 2016 Mar 19.