Karasin Beth, Kleban Monica, Rizzo Gina, Hardinge Tara, Eskuchen Lauren, Watkinson Johanna
AORN J. 2024 Nov;120(5):281-289. doi: 10.1002/aorn.14233.
Many people experience low back pain caused by degenerative disease of the lumbar spine; this includes spinal stenosis, spondylolisthesis, disc degeneration, and disc herniation. Conservative management of degenerative disease, which includes physical therapy, lifestyle modifications, and medications, is the initial approach. If this approach fails, a surgical procedure may be the next step. Previously, open lumbar surgery would have been the planned procedure; today, minimally invasive spine surgery gives patients another choice. Perioperative nurses should understand how minimally invasive spine surgery differs from the open procedure, the steps involved during a minimally invasive procedure, the benefits of this type of procedure, and nursing considerations for patients undergoing minimally invasive spinal procedures.
许多人患有由腰椎退行性疾病引起的腰痛,包括椎管狭窄症、脊椎滑脱、椎间盘退变和椎间盘突出症。退行性疾病的保守治疗包括物理治疗、生活方式改变和药物治疗,这是初始治疗方法。如果这种方法失败,手术可能是下一步。以前,开放式腰椎手术将是计划中的手术;今天,微创脊柱手术为患者提供了另一种选择。围手术期护士应了解微创脊柱手术与开放式手术的区别、微创手术过程中涉及的步骤、这种手术类型的益处,以及接受微创脊柱手术的患者的护理注意事项。