我是怎么做的：微创手术减压治疗腰骶椎间孔外狭窄（远出综合征）

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-05-14 DOI:10.1007/s00701-025-06553-0

Subum Lee, Sunghyun Kwon, Seok-Joon Kim, Jun-Hyeok Song

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引用次数: 0

摘要

背景：L5神经根椎间孔外压陷，通常被称为“远端综合征”，由于其独特的解剖学特征，与其他腰椎区域不同，因此准确诊断具有挑战性。减压不充分可能导致预后不良。方法采用微创椎旁入路，利用管状牵开器减压L5神经根椎间孔外压迫。本文描述了手术过程和关于适应症、诊断、手术终点和避免并发症的方法的讨论。结论充分的减压需要充分切除L5下椎体骨刺、横突和作为腹缘的骶翼。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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How I do it: minimally invasive surgical decompression for lumbosacral extraforaminal stenosis (Far-Out Syndrome)

Background

Accurate diagnosis of extraforaminal entrapment of the L5 nerve root, commonly referred to as "far-out syndrome," is challenging due to its unique anatomical characteristics, which differ from those of other lumbar regions. Inadequate decompression may lead to poor outcomes.

Method

A minimally invasive paraspinal approach utilizing a tubular retractor was used to decompress extraforaminal entrapment of the L5 nerve root. Procedures and discussions regarding indications, diagnoses, surgical endpoints, and ways to avoid complications were described.

Conclusion

Adequate decompression requires sufficient resection of the L5 lower vertebral body bony spur, transverse process, and sacral ala as a ventral margin.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.