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首页> 外文期刊>World neurosurgery >Usage of Bone Wax to Facilitate Percutaneous Endoscopic Cervical Discectomy Via Anterior Transcorporeal Approach for Cervical Intervertebral Disc Herniation
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Usage of Bone Wax to Facilitate Percutaneous Endoscopic Cervical Discectomy Via Anterior Transcorporeal Approach for Cervical Intervertebral Disc Herniation

机译：骨蜡的用法促进经皮内窥镜宫颈椎间盘切除术通过前复制术治疗宫颈椎间盘突出症

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BackgroundCurrently, anterior transdiscal access and posterior interlaminar approach are the main approaches for percutaneous endoscopic cervical discectomy (PECD). To overcome access shortcomings, we previously described a novel anterior endoscopic transcorporeal approach on a migrated cervical disc. We innovatively introduced bone wax into endoscopic surgery to aid hemostasis and facilitate the process of drilling an intracorporeal tunnel. MethodsFive patients with cervical intervertebral disc herniation (CIDH) were treated by PECD via the anterior transcorporeal approach. During the operation, we marked the punctured tunnel with bone wax containing indigo carmine as a guide and smeared bone wax on the endoscopic burr to aid hemostasis. ResultsA satisfactory clinical outcome was observed in all 5 patients postoperatively; pain and neurologic condition were dramatically improved. Surgery-related complications, such as esophageal injury, vascular rupture, hematoma, intervertebral disc infection, or postoperative headache, were not encountered. A computed tomography scan was used to observe the process of bone healing. At 3-month postoperative follow-up, the bone defect within the drilling tunnel had partially shrank and was completely healed at 6 months postoperatively. ConclusionsThe anterior endoscopic transcorporeal approach for PECD is a novel, valuable alternative for the treatment of CIDH. Bone wax could indeed facilitate the operation by guiding the drilling process and instantly controlling the bleeding without obvious interference with bone healing. Long-term follow-up is warranted in further clinical studies.
机译：背景上流，前转级近视和后层间方法是经皮内窥镜宫颈椎间盘切除术（PECD）的主要方法。为了克服进入缺点，我们以前描述了一种在迁移的宫颈盘上的新型前内窥镜复制方法。我们创新地将骨蜡引入内窥镜手术，以帮助止血，并促进钻孔体内隧道的过程。方法采用宫颈椎间盘突出症（CIDH）的患者通过前复体方法进行PECD处理。在操作期间，我们用含有靛蓝胭脂红的骨蜡标记着骨蜡作为引导和内窥镜毛刺上的涂片骨蜡，以帮助止血。在术后5例患者中观察到结果令人满意的临床结果;疼痛和神经系统条件显着改善。没有遇到手术相关的并发症，例如食管损伤，血管破裂，血肿，椎间盘感染或术后头痛。计算断层扫描扫描用于观察骨愈合的过程。在3个月的术后随访中，钻孔隧道内的骨缺陷部分缩小，术后6个月完全愈合。结论PECD前端内窥镜复制方法是一种新颖，有价值的CIDH的替代品。骨蜡可以确实可以通过引导钻井过程来促进手术，并立即控制出血，而无明显干扰骨愈合。在进一步的临床研究中有保证长期随访。

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