臨床整形外科58巻9号

2023年09月発行

特集 脊椎内視鏡下手術の進化・深化 各論(2)FESS

全内視鏡下Trans-Kambin固定術(Fullendo-KLIF)

著者： 八木清¹

所属機関： ¹名古屋市立大学大学院医学研究科運動器スポーツ先進医学寄附講座

ページ範囲：P.1147 - P.1153

Fullendo-KLIFはKambin三角よりアプローチし，foraminoplastyを行うことによりワーキングスペースを拡大し，椎間板郭清，椎体間cageの挿入を全内視鏡下に行う手技である．経椎間孔経路での侵入となるため，前側方アプローチのような臓器損傷，大血管損傷が少なく，体位変換が必要なく腹臥位のみで可能である．また椎間関節を温存でき，間接除圧による症状の改善が期待できる手技であり，後方支持組織に最小侵襲である．本稿ではfullendo-KLIFの手術手技と有用性について概説する．

参考文献

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