ID | 111055 |
著者 |
林, 二三男
Tokushima University
Terai, Tomoya
Naruto Hospital
千川, 隆志
Tokushima Municipal Hospital
米津, 浩
Tokushima University
長町, 顕弘
Tokushima University
|
キーワード | Percutaneous endoscopic surgery
lumbar spinal stenosis
foraminoplasty
ventral facetectomy
|
資料タイプ |
学術雑誌論文
|
抄録 | Percutaneous endoscopic surgery for the lumbar spine, which was established in the last decade, requires only an 8-mm skin incision and causes minimal damage to the paravertebral muscles ; thus, it is considered to be a minimally invasive technique for spinal surgery. It has been used to perform percutaneous endoscopic discectomy via two main approaches : the TF approach is a posterolateral one through the intervertebral foramen and can be done under local anesthesia ; the IL approach is a more traditional one through the interlaminar space and is difficult to perform under local anesthesia. Recently, these techniques have been applied for lumbar spinal stenosis (LSS), the TF method for foraminal stenosis under local anesthesia, and the IL method for central and lateral recess stenosis under general anesthesia. In this study, using a fresh human cadaver model, we performed simultaneous decompression of the lateral recess and foraminal stenosis at L4-5 using the TF approach. Computed tomography confirmed enlargement of the lateral recess and intervertebral foramen. This technique, which can be performed under local anesthesia, should benefit elderly patients with LSS and poor general condition due to multiple comorbidities. Finally, we introduce the concept of percutaneous transforaminal ventral facetectomy using a spinal percutaneous endoscope.
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掲載誌名 |
The Journal of Medical Investigation
|
ISSN | 13496867
13431420
|
cat書誌ID | AA11166929
AA12022913
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出版者 | Faculty of Medicine Tokushima University
|
巻 | 64
|
号 | 1-2
|
開始ページ | 1
|
終了ページ | 6
|
並び順 | 1
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発行日 | 2017-02
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EDB ID | |
出版社版DOI | |
出版社版URL | |
フルテキストファイル | |
言語 |
eng
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著者版フラグ |
出版社版
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部局 |
医学系
病院
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