Microscopy-assisted interspinous tubular approach for lumbar spinal stenosis.

Autor:	Soriano-Sánchez JA; Instituto Soriano de Cirugía de Columna Mínimamente Invasiva at ABC Hospital, Neurological Center, Santa Fe Campus, Mexico City, Cuajimalpa, Mexico., Quillo-Olvera J; The Brain and Spine Care Center, Hospital Star Medica Querétaro, San Pablo, Querétaro, Mexico., Soriano-Solis S; Instituto Soriano de Cirugía de Columna Mínimamente Invasiva at ABC Hospital, Neurological Center, Santa Fe Campus, Mexico City, Cuajimalpa, Mexico., Soriano-Lopez ME; Instituto Soriano de Cirugía de Columna Mínimamente Invasiva at ABC Hospital, Neurological Center, Santa Fe Campus, Mexico City, Cuajimalpa, Mexico., Covarrubias-Rosas CA; Research Department, School of Medicine, Universidad Anahuac Querétaro, Querétaro City, Mexico., Quillo-Reséndiz J; The Brain and Spine Care Center, Hospital Star Medica Querétaro, San Pablo, Querétaro, Mexico., Gutiérrez-Partida CF; Instituto Soriano de Cirugía de Columna Mínimamente Invasiva at ABC Hospital, Neurological Center, Santa Fe Campus, Mexico City, Cuajimalpa, Mexico., Rodríguez-García M; Instituto Soriano de Cirugía de Columna Mínimamente Invasiva at ABC Hospital, Neurological Center, Santa Fe Campus, Mexico City, Cuajimalpa, Mexico.
Jazyk:	angličtina
Zdroj:	Journal of spine surgery (Hong Kong) [J Spine Surg] 2017 Mar; Vol. 3 (1), pp. 64-70.
DOI:	10.21037/jss.2017.02.07
Abstrakt:	Various minimally invasive techniques have been reported as an alternative to conventional lumbar decompression. The major advantage of these minimally invasive procedures lies in their reduction of unnecessary exposure and tissue trauma. Our objective was to describe a minimally invasive procedure for lumbar spinal stenosis decompression by enlarging the lumbar interspinous space, approaching it with a tubular retractor, and assisting with microscopy. Thoracolumbar fascia and paravertebral muscles are preserved throughout the whole procedure. Iatrogenic instability of the spine can be avoided if during the procedure both joints are just undercut in order to decompress the subarticular space. The approach described in this manuscript could be used as an alternate minimally invasive surgical procedure for the treatment of central and lateral lumbar spinal stenosis. Competing Interests: Conflicts of Interest: The authors have no conflicts of interest to declare.
Databáze:	MEDLINE
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