Neurologie pro praxi – 5/2024

NEUROLOGIE PRO PRAXI / Neurol. praxi. 2024;25(5):383-388 / www.neurologiepropraxi.cz 388 Z POMEZÍ NEUROLOGIE Spinálna endoskopia – liečba výhrezu disku driekovej chrbtice Šetrenie svalového aparátu chrbtice je prirodzene spojené s menšími pooperačnými bolesťami, čo môže viesť k skráteniu hospitalizácie pacienta, ako aj rekonvalescencie (Liu et al., 2018; Song et al., 2017; Choi et al., 1976; Lew et al., 2001). Na základe našich skúseností hodnotíme SE (interlaminárnu aj transforaminálnu techniku) ako efektívnu operačnú metódu pri ošetrení hernií intervertebrálneho disku driekovej chrbtice pri radikulopatii vrátane hyperalgických stavov a prípadov spojených s motorickým deficitom. Optimálnou indikáciou na SE liečbu sú hernie disku s dominujúcim radikulárnym syndrómom. Na základe literárnych údajov a vlastných skúseností očakávame rozšírenie spektra indikácií v SE chrbtice aj o komplexnejšie degeneratívne poškodenia driekovej chrbtice. LITERATÚRA 1. Abdu RW, Abdu WA, Pearson AM, et al. Reoperation for Recurrent Intervertebral Disc Herniation in the Spine Patient Outcomes Research Trial: Analysis of Rate, Risk Factors, and Outcome. Spine. 2017;15;42(14):1106-1114. doi: 10.1097/ BRS.0000000000002088. 2. Foley KT. Microendoscopic discectomy. Tech Neurosurg. 1997;49(2):262-263. doi: 10.4103/0019-5413.152551. 3. Foley KT, Smith MM, Rampersaud YR. Microendoscopic approach to far‑lateral lumbar disc herniation. Neurosurg Focus.1999;7(5). doi: 10.3171/foc.1999. 7. 6. 6. 4. Choi G, Lee SH, Bhanot A, et al. Percutaneous endoscopic discectomy for extraforaminal lumbar disc herniations: Extraforaminal targeted fragmentectomy technique using working channel endoscope. Spine (Phila Pa 1976). 2007;5;32(2):E93-9. doi: 10.1097/01.brs.0000252093.31632. 54. 5. Choi G, Munoz‑Saurez D. Transforaminal Endoscopic Thoracic Discectomy: Technical Review to Prevent Complications. Neurospine. 2020;17(1). doi:1014245/ns.2040250. 125. 6. Junseok B, Sourabh C, Sang‑Ha S, Sang‑Ho L. Transforaminal endoscopic thoracic discectomy with foraminoplasty for the treatment of thoracic disc herniation. J SPine Surg. 2020;6(2):397-404. doi: 10.21037/jss.2019. 11. 19. 7. Kim DH, Choi G, Lee SH. Endoscopic spine surgery. Thieme. 2018: 2-70. 8. Lew SM, Mehalic TF, Fagone KL. Transforaminal percutaneous endoscopic discectomy in the treatment of far‑lateral and foraminal lumbar disc herniations. J Neurosurg. 2001;94(2):21620. doi: 10.3171/spi.2001. 94. 2.0216. 9. Liu X, Yuan S, Tian Y, et al. Comparison of percutaneous endoscopic transforaminal discectomy, microendoscopic discectomy, and microdiscectomy for symptomatic lumbar disc herniation: Minimum 2-year follow‑up results. J Neurosurg. 2018;28(3):317-325. doi: 10.3171/2017. 6. 10. Máca K, Ďuriš K, Smrčka M. Endoskopické operace výhřezu bederních meziobratlových plotének – první zkušenosti. Cesk Slov Neurol N. 2019;82(5):541-547. doi: 10.14735/ amcsnn2019541. 11. Martens F, Vajkoczy P, Jadik S, et al. Patients at the Highest Risk for Reherniation Following Lumbar Discectomy in a Multicenter Randomized Controlled Trial. JB JS. 2018;3(2). doi: 10.2106/JBJS.OA.17.00037. 12. Mathews HH. Transforaminal Endoscopic Microdiscectomy. Neurosurgery Clinics of North America. 1996;7(1):59-64. 13. Nie H, Zeng J, Song Y, et al. Percutaneous endoscopic lumbar discectomy for L5-S1 disc herniation via an interlaminar approach versus a transforaminal approach. SPINE. 2016;41:p B30-B37. DOI: 10.1097/BRS.0000000000001810. 14. Pan M, Li Q, Li S, et al. Percutaneous Endoscopic Lumbar Discectomy: Indications and Complications. Pain Physician. 2020 Jan;23(1):49-56. PMID: 32013278. 15. Platt A, Fessler RG, Traynelis VC, O’Toole JE. Minimally Invasive Posterior Cervical Foraminotomy Versus Anterior Cervical Fusion and Arthroplasty: Systematic Review and MetaAnalysis. Global Spine Journal. 2022;12(7):1573-1582. doi: 10.1177/219256822110 55094. 16. Ruetten S, Komp M, Merk H. Full‑endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: A prospective, randomized, controlled study 2008. Spine. DOI: 10.1097/BRS.0b013e31816c8af7. 17. Ruetten S, Komp M, Merk H. Full‑endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9 mm endoscopes: a prospective, randomized, controlled study. Spine. 2008;33(9):940-8. doi: 10.1097/ BRS.0b013e31816c8b67. 18. Ruetten S, Komp M, Merk H, et al. Recurrent lumbar disc herniation after conventional discectomy: a prospective, randomized study comparing full‑endoscopic interlaminar and transforaminal versus microsurgical revision. J Spinal Disord Tech. 2009; 22(2):122-9. doi: 10.4103/0019-5413.152551. 19. Smith Z, Fessler R. Paradigm changes in spine surgery – evolution of minimally invasive techniques. Nat Rev Neurol. 2012;8:443-450. doi: 10.1097/BSD.0b013e318175ddb4. 20. Song HP, Sheng HF. A case‑control study on the treatment of protrusion of lumbar intervertebral disc through PELD and MED. Exp Ther Med. 2017;14(4):3708-3712. doi: 10.3892/ etm.2017.4929. 21. Zhang B, et al. Transforaminal endoscopic discectomy versus conventional microdiscectomy for lumbar disherniation: a systematic review and meta‑analysis. J Orthop Surg Res. 2018;13(1):169. doi: 10.1186/s13018-018-0868-0. 22. Zhu Y, Zhao Y, Fan G, et al. Comparison of the effects of local anesthesia and epidural anesthesia for percutaneous transforaminal endoscopic discectomy in elderly patients over 65 years old. Ex pasu. 2017;1(9):2373-2378, 47(12):260-263. 23. Xinhua L, Zhouyang H, Jian C, et al. Percutaneous endoscopic lumbar discectomy for recurrent lumbar disc herniation. International Journal of Surgery. 2016;27:8-16. 24. Xu T, et al. Application of continuous epidural anesthesia in transforaminal lumbar endoscopic surgery: A prospective randomized controlled trial. Elsev. 2019;47(3):1146-1153. Obr. 16. Peroperačná fotografia – operatér stojaci po boku pacienta, pred operatérom je endoskopická veža a RTG monitor s peroperačným zobrazovaním pozície endoskopu, inštrumentárka a inštrumenty sú po ľavici operatéra

RkJQdWJsaXNoZXIy NDA4Mjc=