Minimalinvasive Operationen an der Lendenwirbelsäule. Teil 2
Bandscheibenoperationen mit Implantaten, Interventionen bei Spinalkanalstenose, Fusionen und perkutane Frakturversorgung an der lumbalen WirbelsäuleM. Röllinghoff1
, R. Sobottke1
, T. Koy1
, K.-S. Delank1
, P. Eysel1
1Klinik und Poliklinik für Orthopädie der Universität zu Köln
Minimalinvasive Eingriffe an der Wirbelsäule zur Behandlung akuter oder chronischer Rückenschmerzen erfreuen sich seit Jahren einer großen Beliebtheit. Im 1. Teil unserer Fortbildung wurden die semiinvasiven Verfahren vorgestellt, insbesondere Injektionen und perkutane Verfahren. Weiterhin wurden Bandscheibenoperationen ohne Implantate beschrieben und erläutert, darunter intra- und extradiskale Interventionen. In unserem 2. Teil wollen wir nun näher eingehen auf Bandscheibenoperationen mit Implantaten, auf Interventionen bei Spinalkanalstenose, auf Fusionen und perkutane Versorgungen bei Wirbelkörperfrakturen. Ziel dieser Fortbildung soll es sein, einen Überblick über die derzeit in der Literatur beschriebenen und in der Praxis durchgeführten minimalinvasiven Operationstechniken an der Wirbelsäule zu geben. Entscheidungshilfen zur Indikationsstellung minimalinvasiver Maßnahmen an der Wirbelsäule werden dargestellt.
Literatur
1
Anderson P A, Tribus C B, Kitchel S H.
Treatment of neurogenic claudication by interspinous decompression: application of the X STOP device in patients with lumbar degenerative spondylolisthesis.
J Neurosurg Spine.
2006;
4
463-471
2
Blumenthal S, McAfee P C. et al .
A prospective, randomized, multicenter food and drug administration investigational device exemptions study of lumbar total disc replacement with the CHARITE artificial disc versus lumbar fusion: part I: evaluation of clinical outcomes.
Spine.
2005;
30
1565-1575
3
Blumenthal S, McAfee P C, Guyer R D. et al .
A prospective, randomized, multicenter food and drug administration investigational device exemptions study of lumbar total disc replacement with the Charité artificial disc versus lumbar fusion: part I: evaluation of clinical outcomes.
Spine.
2005;
30
1565-1575
4
Bouza C, Lopez T, Magro A. et al .
Efficacy and safety of ballon kyphoplasty in the treatment of vertebral compression fractures: a systematic review.
Eur Spine J.
2006;
15
1050-1067
5
Cooper C, Atkinson E J, O'Fallon W M, Melton L J.
3rd incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester, Minnesota, 1985 - 1989.
J Bone Min Res.
1993;
7
221-227
6
Galibert P, Deramond H, Rosat P, Le Gras D.
Note préliminaire sur le traitement des angiomes vertébraux par vertébroplastie acrylique percutanée.
Neurochirurgie.
1987;
33
166-168
8
Grafe I A, Da Fonseca K. et al .
Reduction of pain and fracture incidence after kyphoplasty: 1-year outcomes of a prospective controlled trial of patients with primary osteoporosis.
Osteoporos Int.
2005;
16
2005-2012
9
Grafin S R, Yan H A, Reiley M A.
New technologies in spine: Kyphoplasty and vertebroplasty for treatment of painful oestoporotic compression fractures.
Spine.
2001;
26
1511-1515
12
Hochmuth K, Proschek D, Schwarz W. et al .
Percutaneuos vertebroplasty in therapy of osteoporotic vertebral compression fractures: a critical review.
Eur Radiol.
2006;
35
616-625
13
Huang R C, Girardi F P, Cammisa J R. et al .
Long-term flexion-extension range of motion of the prodisc total disc replacement.
J Spinal Disord Tech.
2003;
16
435-440
15
Khoo L T, Palmer S, Laich D T, Fessler R G.
Minimally invasive percutaneous posterior lumbar interbody fusion.
Supplement to Neurosurgery.
2002;
51
166-181
17
Koes B W, Scholten R J, Mens, Bouter L M.
Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials.
Pain Dec.
1995;
63
279-288
18
Kondrashov D G, Hannibal M, Hsu K Y, Zucherman J F.
Interspinous process decompression with the X-STOP device for lumbar spinal stenosis: a 4-year follow-up study.
J Spinal Disord Tech.
2006;
19
323-327
19
Laine T, Lund T, Ylikowski M. et al .
Accuracy of pedicle screw insertion with and without computerassistance: a randomised controlled clinical study in 100 consecutive patients.
Eur Spine J.
2000;
9
235-240
24
Mayer H M, Wiechert K.
Microsurgical anterior approches to the lumbar spine for interbody fusion and total disc replacement.
Neurosurgery.
2002;
51
159-165
25
Nelemans P, De Bie R, De Vet H, Sturmans F.
Withdrawn: Injection therapy for subacute and chronic benign low-back pain.
Cochrane Database Syst Rev.
2007;
(3)
26
Niemistro L, Kalso E, Malmivaara A. et al .
Radiofrequency denervation for neck and back pain. A systematic review of randomized controlled trials.
Cochrane Database Syst Rev.
2003;
1
CD 004058
27
Pfeiffer M, Haas O, Huber-Stentrup M, Georg C.
Disc height and anteroposterior translation in fused and adjacent segments after lumbar spine fusion.
German Medical Science.
2003;
1
Doc05
28
Putzier M, Funk J F, Schneider S V. et al .
Charité total disc replacement - clinical and radiographical result after an average follow up of 17 years.
Eur Spine J.
2006;
15
183-195
29
Sasaoka R, Nakamura H, Konishi S. et al .
Objective assessment of reduced invasiveness in MED. Compared with conventional one-level laminotomy.
Eur Spine J.
2006;
15
577-582
30
Siepe C J, Mayer H M, Wiechert K, Korge A.
Clinical results of total lumbar disc replacement with ProDisc II: three-year results of different indications.
Spine.
2006;
31
1923-1932
31
Thomé C, Zevgaridis D. et al .
Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomy.
J Neurosurg Spine.
2005;
3
129-141
32
Tropianio P, Huang R C, Girardi F P, Marnay T.
Lumbar disc replacement: preliminary results with ProDisc II after a minimum follow-up periode of 1 year.
J Spinal Disord Tech.
2003;
16
362-368
33
Tsai K J, Murakami H, Lowery G L, Hutton W C.
A biomechanical evaluation of an interspinous device (Coflex) used to stabilize the lumbar spine.
J Surg Orthop Advances.
2006;
15
167-172
34
Voormolen M H, Mali W P. et al .
Percutaneous vertebroplasty compared with optimal pain medication treatment: short-term clinical outcome of patients with subacute or chronic painful osteoporotic vertebral compression fractures. The VERTOS study.
Am J Neuroradiol.
2007;
28
561-562
35
Zigler J, Delamarter R. et al .
Results of the prospective, randomized, multicenter food and drug administration investigational device exemption study of the ProDisc-L total disc replacement versus circumferential fusion for the treatment of 1-level degenerative disc disease.
Spine.
2007;
32
1155-1162