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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.

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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