Circumferential Decompression(周向减压)研究综述
Circumferential Decompression 周向减压 - BACKGROUND CONTEXT Surgical treatment is indicated for symptomatic thoracic ossification of posterior longitudinal ligament (OPLL), and circumferential decompression (CD) is a promising option. [1] Thus, this study aimed to describe and assess the clinical outcomes of the semi-circumferential decompression (SCD) technique used for microsurgical en-bloc total ligamentum flavectomy with preservation of the facet joint in treating patients who have lumbar spinal stenosis with two-level degenerative spondylolisthesis. [2] CONCLUSION ACRF, receiving good correction of kyphosis, amplified canal area, solid instrumented fusion and circumferential decompression, is an effective and safe surgical technique for cervical myelopathy caused by DCKS with or without OPLL. [3] These fracture patients may require a circumferential decompression and fixation. [4] Background: Cerebrospinal fluid leakage(CSFL) is one of the most common complications after posterior transarticular osteotomy and circumferential decompression for thoracic ossification of posterior longitudinal ligament(OPLL). [5] Conclusion: Patients with C2-C3 spondyloptosis documented on X-ray/CT studies should be considered for circumferential decompression/fusion to preserve neurological function. [6] In addition, by posterolateral and circumferential decompression and stabilisation of the spinal cord, it is feasible to create a 2 to 3 mm epidural margin between the dura mater and the tumour (separation surgery), enough to deliver safe and ablative doses of SBRT to the vertebrae. [7] Conclusion: Posterior based circumferential decompression and corrective fusion using the pVCR technique is both feasible and effective in the paediatric population. [8] All subjects underwent posterior decompression (laminectomy and stabilization or circumferential decompression (CD) and stabilization) at a single center. [9] He successfully underwent a circumferential decompression and fusion (e. [10] Circumferential decompression with anterior column reconstruction is often required to restore biomechanical stability and minimize the risk of implant failure. [11] In such cases, posterior-only approaches that allow for circumferential decompression and anterior column reconstruction may be beneficial. [12] Anterior decompression and fusion is the primary intervention to prevent neurological deterioration; however, in severe cases, circumferential decompression and fusion is necessary. [13]背景背景 手术治疗适用于有症状的胸椎后纵韧带骨化（OPLL），环向减压（CD）是一种很有前途的选择。 [1] 因此，本研究旨在描述和评估用于显微外科整块黄韧带切除术并保留小关节的半周向减压（SCD）技术治疗腰椎管狭窄症伴两节段退行性病变的临床结果。脊椎滑脱。 [2] 结论 ACRF对后凸畸形的矫正、扩大的管区面积、固体器械融合和环向减压，是治疗伴有或不伴有OPLL的DCKS引起的脊髓型颈椎病的一种有效且安全的手术技术。 [3] 这些骨折患者可能需要环向减压和固定。 [4] 背景：脑脊液漏（CSFL）是后纵韧带（OPLL）胸椎骨化（OPLL）后经关节截骨环周减压术后最常见的并发症之一。 [5] 结论：在 X 射线/CT 研究中记录的 C2-C3 脊椎下垂患者应考虑进行环向减压/融合以保留神经功能。 [6] 此外，通过脊髓后外侧和圆周减压和稳定，在硬脑膜和肿瘤之间形成 2 至 3 毫米的硬膜外边缘（分离手术）是可行的，足以将安全和消融剂量的 SBRT 输送到椎骨。 [7] 结论：使用 pVCR 技术进行基于后路的环向减压和矫正融合在儿科人群中既可行又有效。 [8] 所有受试者都在一个中心接受了后路减压（椎板切除术和稳定或环向减压（CD）和稳定）。 [9] 他成功地进行了环向减压和融合（例如。 [10] 通常需要通过前柱重建进行环向减压以恢复生物力学稳定性并将植入物失败的风险降至最低。 [11] 在这种情况下，允许环向减压和前柱重建的仅后路方法可能是有益的。 [12] 前路减压融合是预防神经功能恶化的主要干预措施；但严重时需要进行环向减压融合。 [13]
stage surgery group 阶段手术组
Among these patients, nine were treated with posterior decompression (PD) and circumferential decompression (CD) procedures in one-stage surgery (group A), 14 with PD and CD procedures in two-stage surgery (group B), 36 patients with PD procedures in one-stage surgery and 15 with PD procedures in two-stage surgery (group D). [1]在这些患者中，9例接受一期手术后路减压（PD）和环周减压（CD）手术（A组），14例接受PD和CD手术接受二期手术（B组），36例接受PD一期手术中的手术和两期手术中的 15 名 PD 手术（D 组）。 [1]
Stage Circumferential Decompression
CONCLUSIONS Two-stage circumferential decompression and fusion surgery can be considered an effective surgical method for upper thoracic concurrent OPLL and OLF. [1] The patient underwent 2-stage circumferential decompression and fusion. [2]结论 两阶段环向减压融合手术可被认为是上胸段并发OPLL和OLF的有效手术方法。 [1] 患者接受了 2 阶段环向减压和融合。 [2]
Proper Circumferential Decompression
Highlights • The achievement of a proper circumferential decompression of the sac instead of simple posterior bilateral laminectomy has been progressively highlighted. [1] According to preliminary results, the transpedicular 3D endoscope-assisted approach for corpectomies appeared to be a safe and effective technique to achieve proper circumferential decompression and valid separation surgery in thoracic metastases, potentially decreasing the need for costotransversectomy. [2]亮点 • 逐渐强调了对囊的适当圆周减压而不是简单的双侧后部椎板切除术的成就。 [1] 根据初步结果，经椎弓根 3D 内窥镜辅助方法似乎是一种安全有效的技术，可以在胸转移瘤中实现适当的环向减压和有效的分离手术，从而可能减少对肋横断切除术的需要。 [2]
circumferential decompression vium
Both groups received circumferential decompression via laminectomy and a transpedicular approach for partial corpectomy to debulk ventral epidural disease, as well as instrumented stabilization. [1] Circumferential decompression via the posterior approach for the surgical treatment of multilevel thoracic ossification of the posterior longitudinal ligaments: A single institution comparative study. [2] For patients with a beak-type OPLL in the kyphotic curve with a ≥ 50% canal occupying ratio, circumferential decompression via a posterolateral approach and fusion (CDF) was indicated. [3]两组均通过椎板切除术和经椎弓根入路进行椎板切除术以减轻腹侧硬膜外疾病的体积，并接受了器械稳定术。 [1] 经后路环周减压手术治疗多节段胸椎后纵韧带骨化：一项单一机构的比较研究。 [2] 对于后凸弯的喙型 OPLL 且根管占有率 ≥ 50% 的患者，建议通过后外侧入路和融合 (CDF) 进行环向减压。 [3]