Larkin M Benjamin, North Robert Y, Viswanathan Ashwin
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Neurosurg Focus Video. 2020 Oct 1;3(2):V15. doi: 10.3171/2020.5.FOCVID209. eCollection 2020 Oct.
Cordotomy has evolved since the first open procedure by Spiller and the first percutaneous radiofrequency cordotomy by Mullan in 1965. Today, the minimally invasive, CT-guided percutaneous radiofrequency cordotomy is mostly used for the palliative management of medically intractable somatic pain related to malignancy in well-selected patients. The risk of adverse events is minimized with the use of intraoperative stimulation monitoring. This video highlights the spinal cord anatomy at the level of C1-2, the approach to patient selection, the associated risks and benefits, and, finally, the procedural setup and key steps involved in this unique neurosurgical procedure. The video can be found here: https://youtu.be/a-0ORqy0W2o.
自1965年斯皮勒首次开展开放性手术以及穆兰首次进行经皮射频脊髓切开术以来，脊髓切开术不断发展。如今，微创的、CT引导下经皮射频脊髓切开术主要用于精心挑选的患者，以姑息治疗与恶性肿瘤相关的药物治疗难以控制的躯体疼痛。通过术中刺激监测可将不良事件风险降至最低。本视频重点介绍了C1-2水平的脊髓解剖结构、患者选择方法、相关风险和益处，最后介绍了这一独特神经外科手术的操作设置和关键步骤。视频链接如下：https://youtu.be/a-0ORqy0W2o 。
