Spinal endoscopic technique in the surgical treatment of thoracic ossification of the ligamentum flavum
10.3760/cma.j.cn112139-20231226-00299
- VernacularTitle:脊柱内镜技术在胸椎黄韧带骨化症手术治疗中的应用
- Author:
Xiangbin WANG
1
;
Chong WANG
;
Yong LI
;
Tao LI
;
Yubin LONG
Author Information
1. 南华大学附属邵阳医院（湖南省邵阳市中心医院）脊柱外科，邵阳 422000
- Keywords:
Ossification,heterotopic;
Thoracic vertebrae;
Ligamentum flavum;
Thoracic ossification of the ligamentum flavum;
Spinal endoscopic technique;
Microendoscop
- From:
Chinese Journal of Surgery
2024;62(8):793-797
- CountryChina
- Language:Chinese
-
Abstract:
Thoracic ossification of the ligamentum flavum (TOLF) is a pathological heterotopic ossification disease in which the fibrous tissue of the ligamentum flavum of the thoracic spine converts into bony tissue, often leading to thoracic spinal stenosis and compression of the thoracic spinal cord nerve. When TOLF patients present with symptoms of spinal cord nerve compression, surgical treatment is usually required, and traditional open surgery is more invasive and carries a higher risk of spinal cord nerve injury. In recent years, domestic and foreign researchers have tried to apply spinal endoscopic techniques such as microendoscopy, percutaneous foraminoscopy, and unilateral biportal endoscopy for the treatment of TOLF, which can maximize the preservation of normal bone while achieving adequate decompression of the spinal cord nerve, with less damage to spinal stability, and have the advantages of less surgical trauma, less bleeding, and faster postoperative recovery. Due to the special anatomical structure of the thoracic vertebra, spinal endoscopic techniques should focus on safety and it is recommended that they are performed in experienced centers, and surgical indications should be strictly controlled.
