Chen Kuo-Tai, Kim Jin-Sung, Huang Abel Po-Hao, Lin Martin Hsiu-Chu, Chen Chien-Min
Department of Neurosurgery, Chang Gung Memorial Hospital Chiayi, Chiayi, Taiwan.
Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Neurospine. 2023 Mar;20(1):33-42. doi: 10.14245/ns.2346190.095. Epub 2023 Mar 31.
Endoscopic spine surgery (ESS) has evolved as a safe, effective, and efficient alternative for minimally invasive spine surgery (MISS). The innovation of full-endoscopic systems makes definitive decompression surgery through different approaches feasible. The approach can be determined according to the location of the target lesion or the surgeon's preference. During the past 2 decades, ESS has expanded its indications from lumbar to cervical spines. Except for decompression, endoscopy-assisted fusion surgery is also developing. However, ESS is still evolving and has a steep learning curve. The revolution of technologies and ESS techniques will enable surgeons to treat various spinal diseases more practically. In recent years, the application of the computer-assisted navigation system and augmented reality have reformed imaging quality and interpretation. The endoscopic rhizotomy techniques have opened a new way for MISS of chronic low back pain. This review introduces the current indications of ESS and its potential future expansion.
内镜脊柱手术（ESS）已发展成为微创脊柱手术（MISS）的一种安全、有效且高效的替代方法。全内镜系统的创新使得通过不同入路进行确定性减压手术成为可能。入路可根据目标病变的位置或术者的偏好来确定。在过去20年中，ESS的适应证已从腰椎扩展到颈椎。除了减压手术，内镜辅助融合手术也在发展。然而，ESS仍在不断发展，且学习曲线较陡。技术和ESS技术的革新将使外科医生能够更切实地治疗各种脊柱疾病。近年来，计算机辅助导航系统和增强现实技术的应用改善了成像质量和解读。内镜下神经根切断术技术为慢性下腰痛的MISS开辟了一条新途径。本综述介绍了ESS的当前适应证及其未来可能的扩展。
