医学
孔切开术
经皮
介入放射学
减压
放射科
外科
腰椎
神经组阅片室
神经外科
标识
DOI:10.1007/s00701-022-05114-z
摘要
Percutaneous endoscopic lumbar foraminotomy (PELF) is a good alternative for foraminal stenosis. The steep learning curve and lack of a practical manual can make this technique challenging.We describe a step-by-step technique based on the literature review and our experience in actual practice: (1) posterolateral foraminal landing, (2) bony unroofing of the superior articular process, and (3) full-scale soft tissue decompression. Technical tips for preventing complications are also discussed.PELF may be effective and minimally invasive. Standardized surgical techniques are essential for clinical success.
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