[1]许锦超,鲍剑航,高文硕,等.单侧入路双侧减压术治疗退行性腰椎椎管狭窄症相关并发症的研究进展[J].中医正骨,2021,33(03):44-48.
 XU Jinchao,BAO Jianhang,GAO Wenshuo,et al.Advancement of research on complications of unilateral laminotomy for bilateral decompression for treatment of degenerative lumbar spinal stenosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(03):44-48.
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单侧入路双侧减压术治疗退行性腰椎椎管狭窄症相关并发症的研究进展()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年03期
页码:
44-48
栏目:
综 述
出版日期:
2021-03-20

文章信息/Info

Title:
Advancement of research on complications of unilateral laminotomy for bilateral decompression for treatment of degenerative lumbar spinal stenosis
作者:
许锦超鲍剑航高文硕潘浩
(浙江中医药大学附属广兴医院,浙江 杭州 310007)
Author(s):
XU JinchaoBAO JianhangGAO WenshuoPAN Hao
关键词:
腰椎 椎管狭窄 单侧入路双侧减压术 手术中并发症 手术后并发症 综述
摘要:
退行性腰椎椎管狭窄症(degenerative lumbar spinal stenosis,DLSS)是临床常见腰椎退行性疾病。近年来,单侧入路双侧减压术(unilateral laminotomy for bilateral decompression,ULBD)逐渐成为治疗DLSS的主要方式。随着脊柱外科微创技术的发展,目前在显微镜、单通道内镜及双通道内镜下均可行ULBD治疗DLSS。该术式减压充分、临床疗效显著,但仍存在发生硬脊膜撕裂、硬脊膜外血肿、脊柱不稳、头痛等并发症的风险。为了提高临床医师对ULBD治疗DLSS的相关并发症的认识,本文对其研究进展进行了综述。

参考文献/References:

[1] FALOWSKI S M,SAYED D,DEER T R,et al.Biomechanics and mechanism of action of indirect lumbar decompression and the evolution of a stand-alone spinous process spacer[J].Pain Med,2019,20(Suppl 2):S14-S22.
[2] YOUNG S,VEERAPEN R,O’LAOIRE S A.Relief of lumbar canal stenosis using multilevel subarticular fenestrations as an alternative to wide laminectomy:preliminary report[J].Neurosurgery,1988,23(5):628-633.
[3] DOHZONO S,TOYODA H,MATSUMURA A,et al.Clinical and radiological outcomes after microscopic bilateral decompression via a unilateral approach for degenerative lumbar disease:minimum 5-year follow-up[J].Asian Spine J,2017,11(2):285-293.
[4] DE ANTONI D J,CLARO M L,POEHLING G G,et al.Translaminar lumbar epidural endoscopy:anatomy,technique,and indications[J].Arthroscopy,1996,12(3):330-334.
[5] HEO D H,SON S K,EUM J H,et al.Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique:technical note and preliminary clinical results[J].Neurosurg Focus,2017,43(2):E8.
[6] MüLLER S J,BURKHARDT B W,OERTEL J M.Management of dural tears in endoscopic lumbar spinal surgery:a review of the literature[J].World Neurosurg,2018,119:494-499.
[7] UCHIKADO H,NISHIMURA Y,HATTORI G,et al.Micro-anatomical structures of the lumbar intervertebral foramen for full-endoscopic spine surgery:review of the litera-tures[J].J Spine Surg,2020,6(2):405-414.
[8] SOLAROGLU I,OKUTAN O,BESKONAKLI E.The ATA and its surgical importance:a newly described ligament lying between the dural sac and the ligamentum flavum at the L5 level[J].Spine(Phila Pa 1976),2011,36(16):1268-1272.
[9] ITO F,ITO Z,SHIBAYAMA M,et al.Step-by-step sublaminar approach with a newly-designed spinal endoscope for unilateral-approach bilateral decompression in spinal stenosis[J].Neurospine,2019,16(1):41-51.
[10] HUANG Y H,LIEN F C,CHAO L Y,et al.Full endoscopic uniportal unilateral laminotomy for bilateral decompression in degenerative lumbar spinal stenosis:highlight of ligamentum flavum detachment and survey of efficacy and safety in 2 years of follow-up[J].World Neurosurg,2020,134:e672-e681. 中医正骨2021年3月第33卷第3期 J Trad Chin Orthop Trauma,2021,Vol.33,No.3(总207)(总208)中医正骨2021年3月第33卷第3期 J Trad Chin Orthop Trauma,2021,Vol.33,No.3
[11] WU M H,WU P C,LEE C Y,et al.Outcome analysis of lumbar endoscopic unilateral laminotomy for bilateral decompression in patients with degenerative lumbar central canal stenosis[J].Spine J,2021,21(1):122-133.
[12] TSUTSUMIMOTO T,YUI M,UEHARA M,et al.A prospective study of the incidence and outcomes of incidental dural tears in microendoscopic lumbar decompressive surgery[J].Bone Joint J,2014,96-B(5):641-645.
[13] RUETTEN S,KOMP M.Endoscopic lumbar decompre-ssion[J].Neurosurg Clin N Am,2020,31(1):25-32.
[14] PARK H J,KIM S K,LEE S C,et al.Dural tears in percutaneous biportal endoscopic spine surgery:anatomical location and management[J].World Neurosurg,2020,136:e578-e585.
[15] MENON S K,ONYIA C U.A short review on a complication of lumbar spine surgery:CSF leak[J].Clin Neurol Neurosurg,2015,139:248-251.
[16] STR?QVIST F,SIGMUNDSSON F G,STR?QVIST B,et al.Incidental durotomy in degenerative lumbar spine surgery-a register study of 64,431 operations[J].Spine J,2019,19(4):624-630.
[17] ANNO M,YAMAZAKI T,HARA N,et al.The incidence,clinical features,and a comparison between early and delayed onset of postoperative spinal epidural hematoma[J].Spine(Phila Pa 1976),2019,44(6):420-423.
[18] IKUTA K,TONO O,TANAKA T,et al.Evaluation of postoperative spinal epidural hematoma after microendoscopic posterior decompression for lumbar spinal stenosis:a clinical and magnetic resonance imaging study[J].J Neurosurg Spine,2006,5(5):404-409.
[19] LIU J M,DENG H L,ZHOU Y,et al.Incidence and risk factors for symptomatic spinal epidural haematoma following lumbar spinal surgery[J].Int Orthop,2017,41(11):2297-2302.
[20] KIM J E,CHOI D J,PARK E J.Evaluation of postoperative spinal epidural hematoma after biportal endoscopic spine surgery for single-level lumbar spinal stenosis:clinical and magnetic resonance imaging study[J].World Neurosurg,2019,126:e786-e792.
[21] FUJIWARA Y,MANABE H,IZUMI B,et al.The impact of hypertension on the occurrence of postoperative spinal epidural hematoma following single level microscopic posterior lumbar decompression surgery in a single institute[J].Eur Spine J,2017,26(10):2606-2615.
[22] KIM J E,CHOI D J,KIM M C,et al.Risk factors of postoperative spinal epidural hematoma after biportal endoscopic spinal surgery[J].World Neurosurg,2019,129:e324-e329.
[23] MA L T,DAI L J,YANG Y,et al.Comparison the efficacy of hemorrhage control of surgiflo haemostatic matrix and absorbable gelatin sponge in posterior lumbar surgery:a randomized controlled study[J].Medicine(Baltimore),2018,97(49)
[2020-11-15].https:∥www.ncbi.nlm.nih.gov/pmc/articles/PMC6310587/pdf/medi-97-e13511.pdf.
[24] YAMADA K,ABE Y,SATOH S,et al.Large increase in blood pressure after extubation and high body mass index elevate the risk of spinal epidural hematoma after spinal surgery[J].Spine(Phila Pa 1976),2015,40(13):1046-1052.
[25] KIM W,KIM S K,KANG S S,et al.Pooled analysis of unsuccessful percutaneous biportal endoscopic surgery outcomes from a multi-institutional retrospective cohort of 797 cases[J].Acta Neurochir(Wien),2020,162(2):279-287.
[26] ZENG X J,WANG W,ZHAO Z,et al.Causes and preventive measures of symptomatic spinal epidural haematoma after spinal surgery[J].Int Orthop,2017,41(7):1395-1403.
[27] AHN D K,SHIN W S,KIM J W,et al.Why cannot suction drains prevent postoperative spinal epidural hematoma?[J].Clin Orthop Surg,2016,8(4):407-411.
[28] KAO F C,TSAI T T,CHEN L H,et al.Symptomatic epidural hematoma after lumbar decompression surgery[J].Eur Spine J,2015,24(2):348-357.
[29] ALTUN I.An experimental study of histopathologic effects of hemostatic agents used in spinal surgery[J].World Neurosurg,2016,90:147-153.
[30] AHN D K,SHIN W S,KIM G W,et al.Postoperative spinal epidural hematoma:the danger caused by the misuse of thrombin-containing local hemostatics[J].Asian Spine J,2017,11(6):898-902.
[31] AHUJA S,MOIDEEN A N,DUDHNIWALA A G,et al.Lumbar stability following graded unilateral and bilateral facetectomy:a finite element model study[J].Clin Biomech(Bristol,Avon),2020,75
[2020-10-15]https://linkinghub.elsevier.com/retrieve/pii/S0268-0033(20)30120-0.
[32] PAO J L,LIN S M,CHEN W C,et al.Unilateral biportal endoscopic decompression for degenerative lumbar canal stenosis[J].J Spine Surg,2020,6(2):438-446.
[33] HEO D H,LEE D C,PARK C K.Comparative analysis of three types of minimally invasive decompressive surgery for lumbar central stenosis:biportal endoscopy,uniportal endo-scopy,and microsurgery[J].Neurosurg Focus,2019,46(5):E9.
[34] LIM K T,MECEDA E J A,PARK C K.Inside-out approach of lumbar endoscopic unilateral laminotomy for bilateral decompression:a detailed technical description,rationale and outcomes[J].Neurospine,2020,17(Suppl 1):S88-S98.
[35] WU J B,FANG Y,JIN W J.Seizures after percutaneous endoscopic lumbar discectomy:a case report[J].Medicine(Baltimore),2020,99(47):e22470.
[36] KANG T,PARK S Y,LEE S H,et al.Assessing changes in cervical epidural pressure during biportal endoscopic lumbar discectomy[J].J Neurosurg Spine,2020
[2020-10-15]https:∥thejns.org/spine/view/journals/j-neurosurg-spine/34/2/article-p196.xml.
[37] 田大胜,刘建军,朱斌,等.单边双通道内镜技术治疗腰椎间盘突出症和腰椎椎管狭窄症[J].中华骨科杂志,2020,40(17):1155-1164.
[38] CHOI C M.Biportal endoscopic spine surgery(BESS):considering merits and pitfalls[J].J Spine Surg,2020,6(2):457-465.
[39] KIM S K,KANG S S,HONG Y H,et al.Clinical comparison of unilateral biportal endoscopic technique versus open microdiscectomy for single-level lumbar discectomy:a multicenter,retrospective analysis[J].J Orthop Surg Res,2018,13(1):22.
[40] CHOI D J,CHOI C M,JUNG J T,et al.Learning curve associated with complications in biportal endoscopic spinal surgery:challenges and strategies[J].Asian Spine J,2016,10(4):624-629.(收稿日期:2021-01-16 本文编辑:吕宁)

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更新日期/Last Update: 1900-01-01