经椎间孔入路全内镜下脊柱手术的关键技术及价值

Core techniques and values of full-endoscopic spine surgery via transforaminal approach

经椎间孔入路全内镜下脊柱手术(TF-FESS)起源于侧后路经皮介入治疗椎间盘疾病的微创技术,经过全内镜设备、手术器械及技术的不断发展及完善,在椎间盘摘除、椎管减压、椎体间融合等方面已经建立了成熟的技术体系,这些基本技术的组合运用可治疗相对复杂的脊柱退行性疾病。TF-FESS的核心技术包括经皮穿刺技术、椎间孔成形技术、椎管减压技术、椎间盘摘除技术、纤维环缝合技术、椎体间融合技术等,本文就该手术核心技术要点,手术的适应证、优势、不足及发展前景做详细阐述。

Full-endoscopic spinal surgery via transforaminal approach(TF-FESS)originated from the minimally invasive techniques of percutaneous interventional treatment of intervertebral disc diseases through posterolateral approach.Thanks to the continuous development and improvement of full-endoscopic equipment alongside surgical instruments and techniques,a developed technical system has been established in discectomy,spinal canal decompression,interbody fusion,etc.The combination of these basic techniques can treat relatively complex degenerative spinal diseases.The core techniques of TF-FESS include percutaneous puncture,foraminoplasty,spinal canal decompression,discectomy,annulus fibrosus suture,interbody fusion.This paper elaborates on the key points of the core techniques,indications,advantages,disadvantages,and prospects of the TF-FESS.