Open AccessUsing Visual Trepan to Treat Single Segment Ossification of the Ligamentum Flavum Under Endoscopy
Author(s) -
Zhao Wei,
Yang Sen,
Diao Wenbo,
Yan Ming,
Wu Wenjie,
Luo Fei
Publication year - 2019
Publication title -
orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.666
H-Index - 23
eISSN - 1757-7861
pISSN - 1757-7853
DOI - 10.1111/os.12538
Subject(s) - medicine , ossification , endoscopy , surgery , decompression , endoscope , spinal canal , spinal stenosis , spinal canal stenosis , lamina , stenosis , radiology , anatomy , spinal cord , lumbar , psychiatry
This article describes the trepan technique for treating single segment ossification of the ligamentum flavum (OLF) using an endoscope. OLF is the most common cause of thoracic spinal stenosis. The most common surgical procedures involve semi‐lamina or full‐lamina resection and decompression. However, considering the anatomical structure of the thoracic spinal canal and the combination of OLF, traditional surgery has higher risks, more complications, and greater technical requirements. In the past ten years, with the development of endoscopic technology, spinal endoscopy has been increasingly applied for the treatment of intervertebral disc herniation and spinal canal stenosis. The present study demonstrated the effectiveness of visual trepan decompression under spinal endoscopy used for patients with single segment OLF. This surgical procedure had many advantages, including a shorter operation time, minimal trauma, less expenditure, and better functional recovery over the conventional open surgery.