한인호(Han In-Ho) - 부산대학교 의과대학 부산대학교병원 신경외과학교실
최병관(Choi Byung-Kwan) - 부산대학교 의과대학 부산대학교병원 신경외과학교실
조원호(Cho Won-Ho) - 부산대학교 의과대학 부산대학교병원 신경외과학교실
남경협(Nam Kyoung-Hyup) - 부산대학교 의과대학 부산대학교병원 신경외과학교실
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.
키워드
Diskectomy, Percutaneous, Intervertebral disc disease, Endoscope
KMID :
1001920120510030182
원문 및 링크아웃 정보
등재저널 정보
유효성결과(Recomendation)
The obturator guiding technique is a modification of a stan촥ard endoscopic lumbar discectomy and this study reported that 26 patients had excellent results, 13 patients had good results, and 2 patients had fair re촶ults according to the MacNab criteria.