Current status and prospects of spinal endoscopic decompression for lumbar spinal stenosis
10.3760/cma.j.cn115396-20240704-00208
- VernacularTitle:脊柱内镜下腰椎管狭窄症减压手术现状与展望
- Author:
Xiaoguang LIU
1
Author Information
1. 北京大学第三医院骨科，北京 100191
- Keywords:
Spinal stenosis;
Surgical procedures, minimally invasive;
Decompression;
Spinal endoscopy;
Spinal degenerative disease
- From:
International Journal of Surgery
2024;51(7):433-437
- CountryChina
- Language:Chinese
-
Abstract:
Lumbar spinal stenosis(LSS) is a common degenerative spinal disease. Over the past 30 years, under the concept of minimally invasive spine surgery (MISS), spinal endoscopy has seen significant advancements, particularly in endoscopic unilateral laminotomy for bilateral decompression (ULBD). This technique, utilizing a fluid medium and small incision, achieves spinal canal decompression while maintaining spinal stability, resulting in satisfactory clinical outcomes. However, endoscopic spinal decompression surgery still has some complications, such as nerve injury, dural tears, myeloid hypertension, and epidural hematomas. Some scholars have begun exploring robotic endoscopic spinal surgery to reduce complications and improve clinical outcomes. This article provides an overview of the current state of endoscopic treatment for LSS, aiming to equip surgeons with a comprehensive understanding of this surgical approach to deliver better patient care.
