脊柱外科手術(shù)技巧（第三版）

視頻目錄.............................................................................................................................................. ix 譯者名單.............................................................................................................................................. xi 譯者的話............................................................................................................................................. xii 序........................................................................................................................................................ xiii 前 言................................................................................................................................................ xiv 編著者名單......................................................................................................................................... xv 篇 頸椎后路減壓技術(shù) 1. Chiari Ⅰ型的枕下減壓術(shù)........................................................................................................................ 2 2. 頸椎椎板切除術(shù)和椎間孔切開術(shù)............................................................................................................ 4 3. 椎板成形術(shù)......................................................................................................................................... 8 4. 單側(cè)和雙側(cè)小關(guān)節(jié)脫位切開復位術(shù)....................................................................................................... 12 第二篇 頸椎后路融合內(nèi)固定術(shù) 5. 枕骨內(nèi)固定術(shù).................................................................................................................................... 16 6. 枕頸交界和寰樞椎節(jié)段植骨術(shù)............................................................................................................. 20 7. C1-C2后路固定融合術(shù)式選擇............................................................................................................... 23 8. 寰樞椎旋轉(zhuǎn)半脫位復位術(shù).................................................................................................................... 27 9. 頸后路鋼絲固定術(shù).............................................................................................................................. 30 10. 頸椎側(cè)塊螺釘植入術(shù)（C3~C7）........................................................................................................ 35 11. 樞椎以下頸椎經(jīng)關(guān)節(jié)突間螺釘固定技術(shù)............................................................................................... 37 12. 頸椎椎弓根螺釘技術(shù)......................................................................................................................... 40 第三篇 頸椎前路減壓術(shù) 13. 頸胸椎經(jīng)椎板螺釘固定術(shù).................................................................................................................. 44 14. 經(jīng)口齒突切除術(shù)和前路齒突切除術(shù)..................................................................................................... 46 15. 頸椎前路椎間盤切除術(shù)和椎間孔切開術(shù)............................................................................................... 50 16. 頸椎前路椎間孔切開術(shù)..................................................................................................................... 53 17. 椎動脈的顯露.................................................................................................................................. 57 18. 頸椎前路椎體次全切除術(shù).................................................................................................................. 60 19. 單側(cè)或雙側(cè)小關(guān)節(jié)脫位的前路切開復位術(shù)........................................................................................... 63 第四篇 頸椎前路融合固定術(shù) 20. 齒狀突螺釘固定術(shù)............................................................................................................................ 68 21. C1、C2前路關(guān)節(jié)突融合術(shù)：Barbour and Whitesides側(cè)方入路.............................................................. 71 22. 頸椎鈦籠和膨脹式融合器的植入術(shù)..................................................................................................... 74 23. 前路低切跡融合器螺釘固定術(shù)............................................................................................................ 76 24. 頸椎前路靜態(tài)與動態(tài)固定.................................................................................................................. 78 第五篇 胸椎后路減壓術(shù) 25. 經(jīng)椎弓根入路減壓術(shù)......................................................................................................................... 82 26. 經(jīng)肋骨橫突切除入路......................................................................................................................... 85 27. 側(cè)方經(jīng)胸腔外入路............................................................................................................................ 89 第六篇 胸椎后路融合內(nèi)固定術(shù) 28. 椎板上、椎板下、橫突鉤的放置........................................................................................................ 94 29. 椎板下固定...................................................................................................................................... 97 30. 胸椎椎弓根螺釘植入：解剖，垂直和In-out-in進釘技術(shù)....................................................................... 101 第七篇 胸椎前路減壓術(shù) 31. 開放性經(jīng)胸椎間盤切除術(shù)................................................................................................................ 106 32. 開放性經(jīng)胸椎體次全切除術(shù)............................................................................................................. 109 第八篇 胸椎前路融合內(nèi)固定術(shù) 33. 胸椎前路次全切除融合術(shù)（可擴張融合器、金屬籠融合器）................................................................ 114 34. 胸椎和胸腰椎前路鋼板技術(shù)............................................................................................................. 117 第九篇 腰椎后路減壓術(shù) 35. 開放顯微鏡下腰椎間盤切除術(shù).......................................................................................................... 122 36. 開放極外側(cè)椎間盤切除術(shù)................................................................................................................ 126 37. 開放的椎板切除、內(nèi)側(cè)小關(guān)節(jié)切除和椎間孔切開術(shù)............................................................................. 129 38. 翻修手術(shù)的安全顯露....................................................................................................................... 132 第十篇 腰椎后路融合內(nèi)固定術(shù) 39. 腰椎椎弓根螺釘內(nèi)固定術(shù) ............................................................................................................... 136 40. 全皮質(zhì)螺釘內(nèi)固定術(shù)....................................................................................................................... 139 41. 經(jīng)椎間孔入路與后路腰椎椎間融合術(shù)................................................................................................ 144 42. 導航下腰椎融合術(shù).......................................................................................................................... 150 43. 棘突鋼板固定術(shù)............................................................................................................................. 155 44. 經(jīng)關(guān)節(jié)突固定術(shù)............................................................................................................................. 160 45. 髂骨螺釘/螺栓內(nèi)固定，S2骶髂螺釘內(nèi)固定術(shù)..................................................................................... 163 46. 骶-髂螺釘固定和髂骨間鈦棒放置術(shù).................................................................................................. 167 47. 骶骨釘棒（Jackson骶骨棒）與Galveston棒塑形與植入術(shù).................................................................. 169 48. 骶骨螺釘固定術(shù)............................................................................................................................. 174 49. 脊柱峽部裂修復............................................................................................................................. 177 第十一篇 腰椎前路減壓術(shù) 50. 腰椎前路手術(shù)顯露技術(shù).................................................................................................................... 182 51. 腰椎間盤前路切除術(shù)....................................................................................................................... 187 第十二篇 腰椎前路固定融合 52. 側(cè)方入路的微創(chuàng)腰椎椎體次全切除術(shù)................................................................................................ 192 53. 腰椎前路椎間融合術(shù)（ALIF）......................................................................................................... 198 54. 前路帶螺釘?shù)淖枣i融合器的植入....................................................................................................... 202 55.前路及前外側(cè)入路腰椎固定鋼板........................................................................................................ 205 第十三篇 畸 形 56. 矯形術(shù)中脊柱序列的理解和骨盆參數(shù)的評估...................................................................................... 210 57. 頸、胸、腰椎畸形手術(shù)中患者的體位擺放.......................................................................................... 213 58. 重度脊柱滑脫復位.......................................................................................................................... 216 59. Gaines手術(shù)治療脊柱前脫位............................................................................................................. 221 60. 腰骶椎間腓骨支撐植骨治療重度脊柱滑脫：前路Speed’s手術(shù)和后路手術(shù)............................................. 226 61. 先天性脊柱側(cè)凸的肋骨擴張術(shù).......................................................................................................... 230 62. 椎間門形釘技術(shù)治療脊柱畸形.......................................................................................................... 235 63. 后路肋骨截骨術(shù)治療僵硬型冠狀位脊柱畸形...................................................................................... 239 64. 胸廓成型術(shù)：前路，后路................................................................................................................ 241 65. 后路脊柱錨定位置策略和棒復位技術(shù)：椎體切除術(shù)或直接椎體旋轉(zhuǎn)術(shù)................................................... 244 66. 前路脊柱畸形的固定策略：置棒和棒復位技術(shù)................................................................................... 248 67. 矢狀位畸形的固定策略和棒復位策略................................................................................................ 251 68. 全脊椎切除術(shù)................................................................................................................................. 254 69. 經(jīng)后路的頸胸椎的截骨術(shù)................................................................................................................ 259 70. 經(jīng)后側(cè)入路的Smith–Peterson截骨術(shù)、經(jīng)椎弓根截骨術(shù)和全脊椎切除截骨術(shù)........................................ 264 71. 電子計算機斷層掃描（CT）引導在脊柱畸形手術(shù)內(nèi)固定的術(shù)中應用..................................................... 273 第十四篇 疼痛管理 72. 頸椎經(jīng)椎間孔選擇性神經(jīng)根阻滯注射技術(shù).......................................................................................... 278 73. 寰樞關(guān)節(jié)注射技術(shù).......................................................................................................................... 280 74. 腰椎經(jīng)椎間孔及椎板間硬膜外類固醇激素注射技術(shù)............................................................................. 282 75. 骶髂關(guān)節(jié)注射技術(shù).......................................................................................................................... 285 第十五篇 患者安全 76. 透視過程中小化輻射暴露技術(shù)....................................................................................................... 288 77. 神經(jīng)監(jiān)測在脊柱畸形手術(shù)中的作用................................................................................................... 292 第十六篇 微創(chuàng)手術(shù)學 78. 顯微鏡在脊柱外科的應用：安置和使用............................................................................................. 298 79. 手術(shù)機器人在脊柱外科中的應用....................................................................................................... 301 80. 內(nèi)窺鏡下經(jīng)皮腰椎減壓術(shù)................................................................................................................ 303 81. 微創(chuàng)通道下后路頸椎減壓術(shù)............................................................................................................. 309 82. 小切口前外側(cè)胸膜后入路胸椎椎體切除術(shù).......................................................................................... 312 83. 微創(chuàng)通道輔助腰椎后路減壓術(shù).......................................................................................................... 315 84. 骶前椎間融合術(shù)............................................................................................................................. 318 85. 經(jīng)通道腰椎后路極外側(cè)椎間盤切除術(shù)................................................................................................ 323 86. 微創(chuàng)經(jīng)椎間孔腰椎椎間融合術(shù).......................................................................................................... 325 87. 經(jīng)皮骨水泥強化技術(shù)（經(jīng)皮椎體成形術(shù)和經(jīng)皮椎體后凸成形術(shù)）......................................................... 327 88. 腰椎微創(chuàng)入路：經(jīng)腰大肌側(cè)方入路腰椎椎間融合術(shù)............................................................................. 332 89. 經(jīng)皮腰椎椎弓根螺釘內(nèi)固定............................................................................................................. 337 90. 前路胸腔鏡下矯形與內(nèi)固定............................................................................................................. 341 91. 微創(chuàng)植棒技術(shù)在多節(jié)段后路胸腰椎固定中的應用................................................................................ 343 92. 微創(chuàng)后路畸形矯形技術(shù).................................................................................................................... 345 93. 胸腔鏡下減壓、植骨與內(nèi)固定技術(shù)................................................................................................... 348 94. 微創(chuàng)骶髂關(guān)節(jié)融合術(shù)....................................................................................................................... 351 第十七篇 腫瘤治療 95. 脊柱轉(zhuǎn)移瘤放射外科手術(shù)學............................................................................................................. 356 96. 硬膜內(nèi)脊髓腫瘤的手術(shù)切除............................................................................................................. 358 第十八篇 取骨植骨與重建 97. 髂嵴前部與后部取骨植骨................................................................................................................ 364 98. 自體腓骨與肋骨取骨植骨................................................................................................................ 366 第十九篇 脊柱外固定 99. Halo支架的使用.............................................................................................................................. 372 100. 閉合頸部牽引復位技術(shù).................................................................................................................. 376 第二十篇 脊柱成形/運動節(jié)段保留手術(shù) 101. 髓核置換術(shù).................................................................................................................................. 382 102. 后路椎間小關(guān)節(jié)成形..................................................................................................................... 384 103. 后路棘突間裝置............................................................................................................................ 387 104. 頸椎間盤置換術(shù)............................................................................................................................ 391 105. 腰椎間盤置換術(shù)............................................................................................................................ 394 106. 側(cè)方入路腰椎間盤置換術(shù)............................................................................................................... 397 第二十一篇 并發(fā)癥的處理 107. 椎板切除術(shù)后，后路暴露硬腦膜和神經(jīng)根的翻修策略........................................................................ 402 108. 術(shù)中止血劑和止血設備的有效運用.................................................................................................. 405 109. 胸腰段脊柱手術(shù)中大血管損傷的處理.............................................................................................. 408 110. 硬膜修復和修補技術(shù)：前路及后路.................................................................................................. 412 111. 胸椎和腰椎脊柱融合頭側(cè)交界區(qū)疾病的外科治療.............................................................................. 416 112. 傷口負壓輔助閉合裝置在手術(shù)切口或取骨區(qū)切口感染中的應用........................................................... 419