微創脊柱手術的最新發展動態

A number of minimally invasive spine surgeries (MISSs) have been developed to address the drawbacks of open spine surgery. Their advantages include small skin incisions, reduction in tissue damage, quick recovery, and short hospital stay. However, the clinical outcomes are comparable to open surgery. There was a cap on the number of indications that could be set for all spinal illnesses. The indications for MISSs have been expanding owing to mechanical and technological advances in medical equipment. Thus, this review presents the various MISSs developed to date, surgical indications, surgical techniques, and their advantages and disadvantages.

Keywords: Minimally invasive spine surgery; Microscopy; Endoscopy; Surgical navigation systems; Augmented reality navigation

Minimally Invasive Spine Surgery Techniques 
    1. Lumbar posterior decompression
    2. Lumbar interbody fusion
    3. Posterior approach: transforaminal lumbar interbody fusion
    4. Anterior approach: lateral lumbar interbody fusion and anterior lumbar interbody fusion

Minimally Invasive Spine Surgery Technology 
    1. Endoscopy
    2. Navigation
    3. Robotics
    4. Augmented reality-assisted spine surgery

微創脊柱手術(miss)已經發展，以解決開放性脊柱手術的缺點。它們的優點包括皮膚切口小，減少組織損傷，恢復快，住院時間短。然而，臨床結果與開放手術相當。所有脊柱疾病的適應癥都有一個限制。由于醫療設備的機械和技術進步，miss的適應癥一直在擴大。因此，本文綜述了迄今為止發展的各種miss、手術適應癥、手術技術及其優缺點。

關鍵詞：

微創脊柱手術; 顯微鏡; 內窺鏡手術; 手術導航系統; 增強現實導航

微創脊柱手術技術

    1. 腰椎后路減壓

    2. 腰椎椎間融合術

    3.后路:經椎間孔腰椎椎間融合術

    4. 前路:外側腰椎椎間融合術和前路腰椎椎間融合術

微創脊柱手術方式

    1. 內窺鏡脊柱手術

    2. 導航脊柱手術

    3. 機器人脊柱手術

    4. 增強現實輔助脊柱手術