双侧腰椎微椎间盘切除术的管状经棘突肌肉保留入路：手术技术与说明性视频

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-08-22 DOI:10.1007/s00701-025-06648-8

Anthony M. T. Chau, Aaron Lerch

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引用次数: 0

摘要

本视频展示了我们的全管状经棘突双侧腰椎间盘切除术的手术入路。一个47岁的男人提出了12个月严重的主要右L5神经根病。磁共振成像显示L4/5大弥漫性椎间盘突出，导致双侧侧隐窝和中央狭窄。患者经棘突管入路行双侧椎间盘切除术。术后疼痛缓解，次日出院。临床缓解持续6周。全管式经棘突腰椎减压术通过微创肌肉保留入路提供良好的双侧侧隐窝暴露。

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—tubular trans-spinous process muscle-sparing approach for bilateral lumbar microdiscectomy: surgical technique with illustrative video

This video demonstrates our surgical approach for an entirely tubular trans-spinous process bilateral lumbar discectomy. A 47-year-old man presented with 12 months of severe predominantly right L5 radiculopathy. Magnetic resonance imaging revealed a large diffuse disc bulge at L4/5 resulting in bilateral lateral recess and central stenosis. He underwent bilateral discectomies via a trans-spinous process tubular approach. Postoperatively, his pain resolved and was discharged home the following day. Clinical resolution was sustained at 6 weeks. An entirely tubular trans-spinous process technique for lumbar decompression provides excellent bilateral lateral recess exposure through a minimally invasive muscle-sparing approach.

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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.