Department of Neurosurgery, Spine Center, Seran General Hospital, 256, Tongil-ro, Jongno-gu, Seoul, 03030, South Korea.
Acta Neurochir (Wien). 2024 Mar 12;166(1):134. doi: 10.1007/s00701-024-06030-0.
Biportal endoscopic spine surgery independently controls two hands, similar to microscopic surgery, and utilizes a broader working space that is not disturbed by retractors under clear-magnified endoscopic vision. These advantages facilitate successful neural decompression and safe transforaminal interbody fusion, even in patients with thoracic spondylotic myelopathy.
A wide laminectomy and precise total facetectomy, in conjunction with partial pediculotomy, establish a secure transforaminal space for cage insertion. Endplate preparation and cage insertion were performed without retracting the spinal cord under direct endoscopic vision.
Biportal endoscopic transforaminal thoracic interbody fusion can be a feasible technique for treating thoracic spondylotic myelopathy at the thoracolumbar junction levels.
双通道内镜脊柱手术独立控制双手，类似于显微镜手术，并利用更广阔的工作空间，不受清晰放大内镜视野下牵开器的干扰。这些优势有助于成功进行神经减压和安全的经椎间孔椎体间融合，即使是在胸段脊髓型颈椎病患者中也是如此。
广泛椎板切除术和精确的全关节突切除术，结合部分椎弓根切开术，为椎间笼插入建立一个安全的经椎间孔空间。在直接内镜视野下，无需牵拉脊髓即可进行终板准备和椎间笼插入。
双通道内镜经胸椎间融合术可作为治疗胸腰椎交界段胸段脊髓型颈椎病的一种可行技术。
