The ABC's of Spinal Decompression: Pearls and Technical Notes.
Bone cuts
Spinal decompression
Spine
Surgical technique
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
07
03
2019
revised:
06
05
2019
accepted:
07
05
2019
pubmed:
19
5
2019
medline:
21
1
2020
entrez:
19
5
2019
Statut:
ppublish
Résumé
The foundation of spine surgery centers on the proper identification, decompression, and stabilization of bony and neural elements. We describe easily reproducible and reliable methods for optimal decompression and release of neural structures to alleviate symptoms and improve patients' quality of life. Multiple spinal decompression techniques were described in procedures for which the goal of surgery was decompression alone or decompression and fusion. Eight fundamental techniques were described: inverted U-cut, J-cut, T-cut, L-cut, Z-cut, I-track cuts, C-cut, and O-cut. These foundational cuts may be combined, as needed, to develop an individually tailored approach to the patient's pathology. After properly identifying the anatomic structures, each of these techniques provides a consistent, reproducible, and efficient means to decompress the spine under various circumstances. These techniques provide surgical trainees with a framework for approaching surgical decompression.
Identifiants
pubmed: 31102772
pii: S1878-8750(19)31338-5
doi: 10.1016/j.wneu.2019.05.064
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e146-e151Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.