从颈椎管扩大椎板成形术的发展与创新看微创理念在颈椎外科中的应用  

The application of the concept of minimal invasive spine surgery in the development and innovation of cervical expansive laminoplasty

作　　者：孙宇[1] Sun Yu(Department of Orthopaedics,Peking University Third Hospital,Engineering Research Center of Bone and Joint Precision Medicine,Ministry of Education,Beijing Key Laboratory of Spinal Disease Research,Beijing 100191,China)

机构地区：[1]北京大学第三医院骨科、骨与关节精准医学教育部工程中心、脊柱疾病研究北京市重点实验室,北京100191

出　　处：《中华外科杂志》2023年第8期645-649,共5页Chinese Journal of Surgery

基　　金：首都卫生发展科研专项(2020-1-4092)。

摘　　要：颈椎后路减压是治疗各种原因导致的颈椎管狭窄的重要方法。40多年来,各国学者在探索颈椎后路减压与颈椎功能的保护与重建方面做出了不懈努力,也取得了显著成效。微创脊柱外科这个“新理念”,激发了经肌间隙入路颈椎管扩大术这一“新技术”的发展,带来的是颈椎病手术治疗的“新进展”。它较好地实现了在颈椎后路减压的同时,保护和重建颈椎结构与功能的目标。这些成绩不仅源于微创脊柱外科理念在颈椎后路手术中的具体实践,也展示出脊柱外科医师对实现颈椎“原生态”手术理念的执着与永无止境的追求。Posterior cervical decompression is an important method for the treatment of cervical myelopathy resulting from cervical stenosis due to various pathology.Over the past 40 years,scholars from all over the world have made unremitting efforts in exploring the posterior decompression of the cervical spine and the protection and reconstruction of the cervical spine function,and have achieved remarkable results.The new concept of minimally invasive spinal surgery has stimulated the development of the new technology of cervical expansive laminoplasty via trans-muscular space approach and brought about new progress in the surgical treatment of cervical spondylosis.Cervical expansive laminoplasty via trans-muscular space approach provided a better solution for the posterior decompression while protecting and reconstructing the structure and function of the cervical spine.These achievements are not only the concrete embodiment and practice of the concept of minimally invasive spine surgery in posterior cervical spine surgery,but also show the persistent and endless pursuit of spinal surgeons to realize the concept of original ecological surgery in the cervical spine.

关 键 词：颈椎 外科手术 微创性 肌间隙入路 椎管扩大椎板成形术 微创脊柱外科 

分 类 号：R687.3[医药卫生—骨科学]