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Á¶¿øÈ£(Cho Won-Ho) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºÎ»ê´ëÇб³º´¿ø ½Å°æ¿Ü°úÇб³½Ç
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Abstract
In conventional percutaneous disc surgery, introducing instruments into disc space starts by inserting a guide needle into the triangular working zone. However, landing the guide needle tip on the annular window is a challenging step in endoscopic discectomy. Surgeons tend to repeat the needling procedure to reach an optimal position on the annular target. Obturator guiding technique is a modification of standard endoscopic lumbar discectomy, in which, obturator is used to access triangular working zone instead of a guide needle. Obturator guiding technique provides more vivid feedback and easy manipulation. This technique decreases the steps of inserting instruments and takes safer route from the peritoneum.
Å°¿öµå
Diskectomy, Percutaneous, Intervertebral disc disease, Endoscope
KMID :
1001920120510030182
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À¯È¿¼º°á°ú(Recomendation)
The obturator guiding technique is a modification of a stan¬dard endoscopic lumbar discectomy and this study reported that 26 patients had excellent results, 13 patients had good results, and 2 patients had fair re¬sults according to the MacNab criteria.