Minimally invasive decompression for lumbar stenosis and disc herniation

被引:34
作者
Armin, Sean S. [1 ]
Holly, Langston T. [1 ]
Khoo, Larry T. [1 ]
机构
[1] Univ Calif Los Angeles, Comprehens Spine Ctr, Div Neurosurg, Santa Monica, CA 90404 USA
关键词
lumbar decompression; lumbar disc herniation; minimally invasive surgery; spinal stenosis;
D O I
10.3171/FOC/2008/25/8/E11
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
For decades, lumbar disc herniation and lumbar stenosis have been treated surgically via traditional open techniques. With recent emphasis on minimally invasive approaches in spine surgery, a number of new techniques has been introduced that are aimed at treating these 2 common pathological conditions. Currently the most widely used and efficacious minimally invasive technique for treating these disorders is direct decompression with minimally invasive surgery. Due to the scarcity of large randomized studies, however, it is difficult to compare the effectiveness and possible superiority of this technique with traditional decompression. Further studies are needed to evaluate this issue.
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页数:4
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共 20 条
[1]   Minimally invasive operative management for lumbar spinal stenosis: Overview of early and long-term outcomes [J].
Asgarzadie, Farbod ;
Khoo, Larry T. .
ORTHOPEDIC CLINICS OF NORTH AMERICA, 2007, 38 (03) :387-+
[2]   PERCUTANEOUS LASER DISK DECOMPRESSION - A NEW THERAPEUTIC MODALITY [J].
CHOY, DSJ ;
ASCHER, PW ;
RANU, HS ;
SADDEKNI, S ;
ALKAITIS, D ;
LIEBLER, W ;
HUGHES, J ;
DIWAN, S ;
ALTMAN, P .
SPINE, 1992, 17 (08) :949-956
[4]   Minimally invasive procedures for disorders of the lumbar spine [J].
Deen, HG ;
Fenton, DS ;
Lamer, TJ .
MAYO CLINIC PROCEEDINGS, 2003, 78 (10) :1249-1256
[5]   A minimally invasive technique for decompression of the lumbar spine [J].
Guiot, BH ;
Khoo, LT ;
Fessler, RG .
SPINE, 2002, 27 (04) :432-438
[6]   A MULTICENTER ANALYSIS OF PERCUTANEOUS DISCECTOMY [J].
KAHANOVITZ, N ;
VIOLA, K ;
GOLDSTEIN, T ;
DAWSON, E .
SPINE, 1990, 15 (07) :713-715
[7]   Microendoscopic decompressive laminotomy for the treatment of lumbar stenosis [J].
Khoo, LT ;
Fessler, RG .
NEUROSURGERY, 2002, 51 (05) :S146-S154
[8]   Current concepts in minimally invasive discectomy [J].
Maroon, JC .
NEUROSURGERY, 2002, 51 (05) :S137-S145
[9]   Rupture of the lumbar intervertebral disk - An etiologic factor for so-called "sciatic" pain [J].
Mixter, WJ .
ANNALS OF SURGERY, 1937, 106 :777-787
[10]   EFFICACY OF CHYMOPAPAIN IN CHEMONUCLEOLYSIS - A REVIEW [J].
NORDBY, EJ ;
WRIGHT, PH .
SPINE, 1994, 19 (22) :2578-2583