微創(chuàng)脊柱手術(shù)的最新發(fā)展動(dòng)態(tài)

A number of minimally invasive spine surgeries (MISSs) have been developed to address the drawbacks of open spine surgery. Their advantages include small skin incisions, reduction in tissue damage, quick recovery, and short hospital stay. However, the clinical outcomes are comparable to open surgery. There was a cap on the number of indications that could be set for all spinal illnesses. The indications for MISSs have been expanding owing to mechanical and technological advances in medical equipment. Thus, this review presents the various MISSs developed to date, surgical indications, surgical techniques, and their advantages and disadvantages.

Keywords: Minimally invasive spine surgery; Microscopy; Endoscopy; Surgical navigation systems; Augmented reality navigation

Minimally Invasive Spine Surgery Techniques 
    1. Lumbar posterior decompression
    2. Lumbar interbody fusion
    3. Posterior approach: transforaminal lumbar interbody fusion
    4. Anterior approach: lateral lumbar interbody fusion and anterior lumbar interbody fusion

Minimally Invasive Spine Surgery Technology 
    1. Endoscopy
    2. Navigation
    3. Robotics
    4. Augmented reality-assisted spine surgery

微創(chuàng)脊柱手術(shù)(miss)已經(jīng)發(fā)展，以解決開(kāi)放性脊柱手術(shù)的缺點(diǎn)。它們的優(yōu)點(diǎn)包括皮膚切口小，減少組織損傷，恢復(fù)快，住院時(shí)間短。然而，臨床結(jié)果與開(kāi)放手術(shù)相當(dāng)。所有脊柱疾病的適應(yīng)癥都有一個(gè)限制。由于醫(yī)療設(shè)備的機(jī)械和技術(shù)進(jìn)步，miss的適應(yīng)癥一直在擴(kuò)大。因此，本文綜述了迄今為止發(fā)展的各種miss、手術(shù)適應(yīng)癥、手術(shù)技術(shù)及其優(yōu)缺點(diǎn)。

關(guān)鍵詞：

微創(chuàng)脊柱手術(shù); 顯微鏡; 內(nèi)窺鏡手術(shù); 手術(shù)導(dǎo)航系統(tǒng); 增強(qiáng)現(xiàn)實(shí)導(dǎo)航

微創(chuàng)脊柱手術(shù)技術(shù)

    1. 腰椎后路減壓

    2. 腰椎椎間融合術(shù)

    3.后路:經(jīng)椎間孔腰椎椎間融合術(shù)

    4. 前路:外側(cè)腰椎椎間融合術(shù)和前路腰椎椎間融合術(shù)

微創(chuàng)脊柱手術(shù)方式

    1. 內(nèi)窺鏡脊柱手術(shù)

    2. 導(dǎo)航脊柱手術(shù)

    3. 機(jī)器人脊柱手術(shù)

    4. 增強(qiáng)現(xiàn)實(shí)輔助脊柱手術(shù)