Biportal Endoscopic Spine Surgery for Various Foraminal Lesions at the Lumbosacral Lesion

被引：46

作者：

Choi, Dae-Jung ^{[1
]}

Kim, Ju-Eun ^{[2
]}

Jung, Je-Tea ^{[1
]}

Kim, Yong-Sang ^{[1
]}

Jang, Han-Jin ^{[1
]}

Yoo, Bang ^{[1
]}

Kang, Il-Ho ^{[1
]}

机构：

[1] Barun Hosp, Spine Ctr, Jinju, South Korea

[2] Andong Hosp, Dept Orthoped Surg, 11 Angsil Ro, Andong 36743, South Korea

来源：

ASIAN SPINE JOURNAL | 2018年 / 12卷 / 03期

关键词：

Spinal stenosis; Lumbosacral region; Minimally invasive surgery; Surgical endoscopy;

D O I：

10.4184/asj.2018.12.3.569

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The stenosing foramen of L5-S1 by several degenerative diseases is one of the challenging areas on surgical approaching because of the deeper depth and steep slope in the lumbosacral junction. The floating view using unilateral biportal endoscopic spine surgery rather than docking into the Kambin's zone can make the foraminal structures seen panoramically and permit dynamic handling of various instruments without destroying the facet joint and causing iatrogenic instability. Fine discrimination of structural margins in helps of the higher magnification and gentle manipulation of neural structures just as in open spine surgery could be guaranteed using floating technique from the target structures. Selective decompression with preserving innocent structures including facet joints could relieve foraminal lesions at the L5-S1 and decrease the necessity of fusion surgery caused by wider decompression and iatrogenic instability.

引用

页码：569 / 573

页数：5

共 4 条

[1] Learning Curve Associated with Complications in Biportal Endoscopic Spinal Surgery: Challenges and Strategies [J].