Endoscopic surgery on the thoracolumbar junction of the spine

European Spine Journal

Rudolf Beisse¹ 

[1] Department of Surgery and Trauma Surgery, Trauma Center Murnau, Küntscher-Str.8, 82418 Murnau, Germany

关键词: Thoracolumbar junction;    Endoscopic spine surgery;    Spinal canal decompression;    Spinal lesions;    Diaphragm detachment;   

DOI  :  10.1007/s00586-005-0994-3

学科分类：骨科学

来源: Springer

【 摘 要 】

The thoracolumbar junction is the section of the truncal spine most often affected by injuries. Acute instability with structural damage to the anterior load-bearing spinal column and post-traumatic deformity represents the most frequent indications for surgery. In the past few years, endoscopic techniques for these indications have partially superseded the open procedures, which are associated with high access morbidity. The particular position of this section of the spine, which lies in the transition area between the thoracic and abdominal cavities, makes it necessary in most cases to partially detach the diaphragm endoscopically in order to expose the surgical site, and this also provides access to the retroperitoneal section of the thoracolumbar junction. A now standardised operating technique, instruments and implants specially developed for the endoscopic procedure, from angle stable plate and screw implants to endoscopically implantable vertebral body replacements, have gradually opened up the entire spectrum of anterior spine surgery to endoscopic techniques.

【 授权许可】

Unknown