| Autor: |
Härtl, Roger, Hofstetter, Christoph P., Ahn, Yong, Choi, Gun, Gibson, J. N. A., Ruetten, S., Zhou, Yue, Li, Zhen Zhou, Siepe, Christoph J., Wagner, Ralf, Lee, Jun-Ho, Sairyo, Koichi, Choi, Kyung Chul, Chen, Chien-Min, Telfeian, A. E., Zhang, Xifeng, Banhot, Arun, Lokhande, Pramod V., Prada, N., Shen, Jian, Cortinas, F. C., Brooks, N. P., Van Daele, Peter, Kotheeranurak, Vit, Hasan, Saqib, Keorochana, Gun, Assous, Mohammed, Härtl, Roger, Kim, Jin-Sung |
| Zdroj: |
Global Spine Journal; April 2020, Vol. 10 Issue: Supplement 2 p111S-121S, 11p |
| Abstrakt: |
Study Design: International consensus paper on a unified nomenclature for full-endoscopic spine surgery.Objectives: Minimally invasive endoscopic spinal procedures have undergone rapid development during the past decade. Evolution of working-channel endoscopes and surgical instruments as well as innovation in surgical techniques have expanded the types of spinal pathology that can be addressed. However, there is in the literature a heterogeneous nomenclature defining approach corridors and procedures, and this lack of common language has hampered communication between endoscopic spine surgeons, patients, hospitals, and insurance providers.Methods: The current report summarizes the nomenclature reported for working-channel endoscopic procedures that address cervical, thoracic, and lumbar spinal pathology.Results: We propose a uniform system that defines the working-channel endoscope (full-endoscopic), approach corridor (anterior, posterior, interlaminar, transforaminal), spinal segment (cervical, thoracic, lumbar), and procedure performed (eg, discectomy, foraminotomy). We suggest the following nomenclature for the most common full-endoscopic procedures: posterior endoscopic cervical foraminotomy (PECF), transforaminal endoscopic thoracic discectomy (TETD), transforaminal endoscopic lumbar discectomy (TELD), transforaminal lumbar foraminotomy (TELF), interlaminar endoscopic lumbar discectomy (IELD), interlaminar endoscopic lateral recess decompression (IE-LRD), and lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD).Conclusions: We believe that it is critical to delineate a consensus nomenclature to facilitate uniformity of working-channel endoscopic procedures within academic scholarship. This will hopefully facilitate development, standardization of procedures, teaching, and widespread acceptance of full-endoscopic spinal procedures. |
| Databáze: |
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