Kangaroo-like body position on lumbar discectomy observe the role of minimally invasive.docVIP

 PAGE \* MERGEFORMAT 5 Kangaroo-like body position on lumbar discectomy observe the role of minimally invasive Study: Liu Chuan, see, Liu Yan, Li Yajun, Song Huiping [Abstract] [Objective] To explore a posterior lumbar discectomy to make the difficulty of reduced trauma, less blood loss, surgical minimally invasive surgery of the ideal position. [Method] to the patient in a position like a kangaroo to accept surgery, observed and recorded under this position surgery bleeding, vertebral lamina on the inter-section, the distance between the lower edge, yellow ligament is taut condition and the resulting changes in the way surgery. [results] from 2000 September ~ December 2005 under the operation of the position 1 392 cases, all successfully completed, no half-way position by replacement surgery. The average operation time was 35 min, average blood loss was 20 ml, the lamina, the lower edge is greater than 15 mm from the in 1 108 cases, surgery can be completed by this gap, yellow ligament is extremely tight and easy to break and cut, making minimally invasive surgery and simple. [Conclusion] Kangaroo position consistent with position requirements posterior spinal surgery, is conducive to posterior lumbar discectomy surgical procedures, so that bleeding reduction and minimally invasive surgery has become easy. [Keywords:] spinal surgical approach, prone position, lumbar disc herniation Posterior spinal surgery can help the surgical field position requires full exposure, comfort and safety, as small as possible impact on pulmonary ventilation, lower abdominal pressure, reduce bleeding, to avoid complications caused by body position. In practice, worked out a state of such as the kangaroo position, devised a special support spine surgery - Spinal Surgery Chair (Patent No. 2L01 2 22666 1 [1]. Since September 2000 ~ December 2005, 1 392 patients in this position to accept the different surgical posterior lumbar disc surgery, improve the treatment outcome