후측방 접근법을 통한 내시경 요추 추간판 절제술
Posterolateral Percutaneous Endoscopic Lumbar Discectomy
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Abstract
A percutaneous endoscopic lumbar discectomy (PELD) through a posterolateral approach, is a representative minimally invasive spine surgery (MISS) procedure. With a small skin incision, less traumatic sequelae to the muscles, epidural space and neural tissues, as well as an early recovery after the procedure, posterolateral PELD has been referred to as ‘state of the art’. The three main mechanisms for reducing the radiating pain to the legs and low back, due to a herniated nucleus pulpous (HNP), are the mechanical removal of the HNP, irrigation of chemical irritants and radiofrequency or laser ablation of the ingrown nerves and vessels. There are some difficulties in the approach with a high iliac crest and sequestrated nucleus; however, PELD with conscious anesthesia is the best choice when general anesthesia can not be performed due to a poor general condition.
참고문헌 (8)
- Freemont AJ, "Current understanding of cellular and molecular events in intervertebral disc degeneration:implications for therapy", 196, pp.374~9 (2002)
- Weiler C, "Expression of major matrix metalloproteinases is associated with intervertebral disc degradation and resorption", 11, pp.308~20 (2002)
- Savitz MH, "The practice of minimally invasive spinal technique", pp.101~40 (2000)
- Mayer HM, "Minimally invasive spinal surgery", pp.187~99 (2000), Springer
- Seog SI, "Spinal surgery", pp.190~245 (1987), Choishineuhagsa
- Cruet MJ, "Microendoscopic lumbar discectomy:technical note", 51, pp.~36 (2002)
- Yeung AT, "Posterolateral endoscopic excision for lumbar disc herniation and complications in 307 consecutive cases", pp.722~31
- Yeung AT, "Posterolateral endoscopic excision for lumbar disc herniation and complications in 307 consecutive cases", pp.722~31