Microscopy-assisted interspinous tubular approach for lumbar spinal stenosis
| Autor: | Miroslava-Elizabeth Soriano-Lopez, Javier Quillo-Reséndiz, José-Antonio Soriano-Sánchez, Manuel Rodríguez-García, Carlos-Francisco Gutiérrez-Partida, Javier Quillo-Olvera, Sergio Soriano-Solis, Claudia-Angélica Covarrubias-Rosas |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Spinal stenosis Decompression business.industry medicine.medical_treatment Lumbar spinal stenosis Thoracolumbar fascia Review Article medicine.disease Tubular retractor Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Lumbar Paravertebral muscles medicine Orthopedics and Sports Medicine 030212 general & internal medicine business 030217 neurology & neurosurgery Reduction (orthopedic surgery) |
| Zdroj: | Journal of Spine Surgery. 3:64-70 |
| ISSN: | 2414-4630 2414-469X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|