Aparício Rafael Augusto da Silva, de Oliveira Rodrigo Freitas Maringoni, Pinto Felipe de Almeida, Gorios Carlos, Zanon Lorran Azevedo, Masi Alessandra
Hospital Geral de Carapicuiba, Serviço de Ortopedia e Traumatologia, Carapicuiba, São Paulo, SP, Brazil.
Acta Ortop Bras. 2025 Jan 10;32(6):e278913. doi: 10.1590/1413-785220243206e278913. eCollection 2024.
Spinal stenosis refers to the narrowing of the spinal canal which can generate clinical symptoms secondary to the spinal cord injury itself, or even root involvement. The traditional open surgical procedure to correct spinal stenosis is highly traumatic and risky, and with the development of surgical techniques, endoscopic procedures have been widely used in treating said stenosis, achieving good results with minimally invasive management.
To conduct a literature review regarding endoscopic techniques for correcting spinal stenosis.
This is an integrative literature review that surveyed the PUBMED database using the following search strategy: spinal[title] AND stenosis[title] AND surgery[title]. Only randomized clinical trials published in the last 10 years were included in the sample.
A total of 13 articles were identified that met the previously established search strategy, all of which were included in the review.
The reviewed studies showed that endoscopic surgery to correct spinal stenosis could offer adequate decompression of neural elements, resulting in shorter hospital stays, faster recovery and favorable operative results.
椎管狭窄是指椎管变窄,可继发于脊髓损伤本身而产生临床症状,甚至累及神经根。传统的开放性手术治疗椎管狭窄创伤大、风险高,随着手术技术的发展,内镜手术已广泛应用于治疗此类狭窄,在微创治疗方面取得了良好效果。
对内镜技术治疗椎管狭窄进行文献综述。
这是一项整合性文献综述,采用以下检索策略对PUBMED数据库进行检索:脊髓[标题] AND 狭窄[标题] AND 手术[标题]。样本仅纳入过去10年发表的随机临床试验。
共识别出13篇符合先前既定检索策略的文章,所有文章均纳入综述。
综述研究表明,内镜手术治疗椎管狭窄可对神经结构进行充分减压,从而缩短住院时间、加快恢复并取得良好的手术效果。