关键词: Cervical Endoscopy Foraminotomy Lateral Local anesthesia

Mesh : Humans Foraminotomy / methods Anesthesia, Local / methods Male Female Middle Aged Cervical Vertebrae / surgery Aged Radiculopathy / surgery etiology Patient Positioning / methods Adult Neuroendoscopy / methods Treatment Outcome Spinal Stenosis / surgery Endoscopy / methods

来  源:   DOI:10.1016/j.wneu.2024.03.158

Abstract:
Endoscopic posterior cervical foraminotomy is gaining popularity among endoscopic spine surgeons for the treatment of radiculopathy caused by foraminal stenosis.
This study describes a technique using the lateral decubitus position for endoscopic posterior cervical foraminotomy under monitored anesthesia care and local anesthesia only.
A total of 10 patients with contraindications to general anesthesia underwent the procedure, resulting in improvement in cervical radicular pain with no perioperative complications.
The findings suggest that this approach is a viable alternative for patients at high risk of general anesthesia care, expanding the surgical options for the treatment of radiculopathy.
摘要:
内窥镜后路颈椎间孔切开术在内窥镜脊柱外科医生中越来越受欢迎,用于治疗由椎间孔狭窄引起的神经根病。这项研究描述了一种仅在监测麻醉护理(MAC)和局部麻醉下利用侧卧位进行内窥镜后路颈椎间孔切开术的技术。10例有全身麻醉禁忌症的患者接受了手术,改善颈根性疼痛,无围手术期并发症。研究结果表明,这种方法对于高危患者进行全身麻醉护理是一种可行的替代方法,扩大神经根病治疗的手术选择。
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