우리들병원 최경철 부장 SCI(E)급 논문 출판_Percutaneous endoscopic intra-annular subligamentous herniotomy for large central disc herniation: a technical case report

우리들병원 최경철 부장님이 SCI(E)급 학술지인 SPINE저널에 논문을 출판 하였습니다.
젊은환자들에게 종종 발생하는 거대디스크 탈출증의 새로운 내시경 치료방법에 대한 증례보고 입니다. 
기존에는 내시경을 섬유륜쪽으로 25도 정도 접근시켜 치료했던 것에 반해 이 거대디스크 내시경 치료법은 15도 가량만 접근하여 디스크에 가해지는 손상도 최소화 하였습니다.
논문에 수술방법이 자세히 기술되어 있으니 읽어보시면 도움이 많이 될 듯 합니다.
서지정보 클릭하시면 SPINE홈페이지로 이동합니다^^

*Title: Percutaneous endoscopic intra-annular subligamentous herniotomy for large central disc herniation: a technical case report

*Authors: Lee SH, Choi KC, Baek OK, Kim HJ, Yoo SH

*Bibliography: Spine(Phila Pa 1976). 2014 Apr 1;39(7):E473-9

STUDY DESIGN

Technical case report

OBJECTIVE

To describe the novel technique of percutaneous endoscopic herniotomy using a unilateral intra-annular subligamentous approach for the treatment of large centrally herniated discs.

SUMMARY OF BACKGROUND DATA

Open discectomy for large central disc herniations may have poor long-term prognosis due to heavy loss of intervertebral disc tissue, segmental instability, and recurrence of pain.

METHODS

▶Subjects: 6 patients treated using percutaneous endoscopic herniotomy with a unilateral intra-annular subligamentous approach (2011.01~06)

-presented with back and leg pain, and/or weakness due to a large central disc herniation were.

RESULTS

The patients experienced relief of symptoms and intervertebral disc spaces were well maintained.

The annular defects were noted to be in the process of healing and recovery.

CONCLUSION

Percutaneous endoscopic unilateral intra-annular subligamentous herniotomy was an effective and affordable minimally invasive procedure for patients with large central disc herniations, allowing preservation of nonpathological intradiscal tissue through a concentric outer-layer annular approach.