Topper S M
Department of Orthopaedic Surgery, University of Colorado Health Science Center, Denver, USA.
Am J Orthop (Belle Mead NJ). 1998 Feb;27(2):151-2.
Decompression of the suprascapular nerve through the posterior approach minimizes muscular damage and postoperative scar. The difficulty with this approach is that the depth of the exposure makes operating around the delicate structures of the suprascapular artery and nerve challenging. Spine surgery instrumentation is very helpful in circumventing this problem. Once exposure is achieved, a nerve root retractor is used to retract the suprascapular artery and vein. A number 2 Woody Woodson elevator is used to protect the suprascapular nerve. A number 1 or 2 Kerrison rongeur is then used to resect the suprascapular ligament. The Kerrison rongeur is a particularly useful instrument if an ossified ligament is encountered.
通过后路对肩胛上神经进行减压可将肌肉损伤和术后瘢痕降至最低。这种方法的难点在于暴露的深度使得在肩胛上动脉和神经等精细结构周围进行操作具有挑战性。脊柱外科手术器械在解决这个问题方面非常有帮助。一旦实现暴露，使用神经根牵开器牵开肩胛上动脉和静脉。使用2号Woody Woodson剥离子保护肩胛上神经。然后使用1号或2号Kerrison咬骨钳切除肩胛上韧带。如果遇到韧带骨化，Kerrison咬骨钳是一种特别有用的器械。
