Department of Neurosurgery, Spine Center, Seran General Hospital, Seoul, South Korea.
Department of Neurosurgery, Endoscopic Spine Surgery Center, Harrison Spinartus Hospital Chungdam, 646 Samseong-ro, Gangnam-gu, Seoul, 06084, South Korea.
Acta Neurochir (Wien). 2024 Apr 17;166(1):182. doi: 10.1007/s00701-024-06076-0.
Although cervical laminoplasty is a frequently utilized surgical intervention for cervical spondylotic myelopathy, it is primarily performed using conventional open surgical techniques. We attempted the minimally invasive cervical laminoplasty using biportal endoscopic approach.
Contralateral lamina access is facilitated by creating space through spinous process drilling, followed by lamina hinge formation. Subsequently, the incised lamina is elevated from ipsilateral aspect, and secure metal plate fixation is performed.
We successfully performed the cervical open door laminoplasty using biportal endoscopic approach. Biportal endoscopic cervical open-door laminoplasty may be a minimally invasive technique that can prevent complications related with open surgery.
尽管颈椎板切除术是治疗颈椎病脊髓病的常用手术干预方法,但它主要是采用传统的开放式手术技术进行的。我们尝试使用双通道内窥镜方法进行微创颈椎板切除术。
通过棘突钻孔创建空间来实现对侧椎板的进入,然后形成椎板铰链。随后,从对侧提起切开的椎板,并进行金属板固定。
我们成功地使用双通道内窥镜方法进行了颈椎开门板切除术。双通道内窥镜颈椎开门板切除术可能是一种微创技术,可以预防与开放式手术相关的并发症。