{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:06:05Z","timestamp":1754154365926,"version":"3.41.2"},"reference-count":0,"publisher":"Ideggyogyaszati Szemle Journal","issue":"7-8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Bevezet\u00e9s \u2013 A spondylolisthesis, vagyis csigolyaelcs\u00fasz\u00e1s m\u0171t\u00e9ti kezel\u00e9s\u00e9nek f\u0151 c\u00e9lja a keletkezett szegmentinstabilit\u00e1s kezel\u00e9se, illetve az idegi k\u00e9pletek felszabad\u00edt\u00e1sa. A ny\u00edlt m\u0171t\u00e9ti felt\u00e1r\u00e1sok komplik\u00e1ci\u00f3i\/k\u00f6vetkezm\u00e9nyei miatt megjelent az ig\u00e9ny mind a betegek, mind az orvosok r\u00e9sz\u00e9r\u0151l minim\u00e1lisan invaz\u00edv technik\u00e1k fejleszt\u00e9s\u00e9re, melyek cs\u00facs\u00e1t jelenleg az endoszk\u00f3pos technik\u00e1k k\u00e9pezik. A jelen k\u00f6zlem\u00e9ny c\u00e9lja azon endoszk\u00f3pos m\u0171t\u00e9ti technika ismertet\u00e9se, ami \u2013 t\u00e1rs\u00edtva a percutan csavarbehelyez\u00e9si technik\u00e1val \u2013 a csigolyaelcs\u00fasz\u00e1sok kezel\u00e9s\u00e9ben is hat\u00e9kony \u00e9s biztons\u00e1gos elj\u00e1r\u00e1s.\nM\u00f3dszerek \u2013 A m\u0171t\u00e9ti beavatkoz\u00e1s endotrachealis nark\u00f3zisban t\u00f6rt\u00e9nik. A m\u0171t\u00e9ti ter\u00fclet fert\u0151tlen\u00edt\u00e9s\u00e9t \u00e9s izol\u00e1l\u00e1s\u00e1t k\u00f6vet\u0151en k\u00e9t 1,5-2 centim\u00e9teres paramedian metsz\u00e9sen kereszt\u00fcl t\u00f6rt\u00e9nik az endoszk\u00f3pos eszk\u00f6z\u00f6k bevezet\u00e9se a t\u00fcnetk\u00e9pz\u0151 oldalon. A m\u0171t\u00e9t folyamatos fiziol\u00f3gi\u00e1s s\u00f3oldat\u00e1ramoltat\u00e1s alatt zajlik, amihez a trok\u00e1rhoz csatlakoztatott automatikus irrig\u00e1ci\u00f3s pumpa szolg\u00e1ltatja a folyad\u00e9kbe\u00e1raml\u00e1st. Az endoszk\u00f3pos felt\u00e1r\u00e1son kereszt\u00fcl a ligamentum flavum az ipsilateralis oldalon, valamint az optik\u00e1t megd\u00f6ntve a contralateralis oldalon is teljesen elt\u00e1vol\u00edthat\u00f3, adott szegmentumban az ered\u0151 \u00e9s kil\u00e9p\u0151 ideggy\u00f6k\u00f6k dekomprim\u00e1lhat\u00f3k. A porckorongr\u00e9s ki\u00fcr\u00edt\u00e9se ut\u00e1n a r\u00e9sbe t\u00e1vtart\u00f3 ker\u00fcl behelyez\u00e9sre, amihez a felt\u00e1g\u00edtott munkaport\u00e1l-csatorna \u00e9s a megfelel\u0151 m\u00e9rt\u00e9k\u0171 csontelv\u00e9tel el\u00e9gs\u00e9ges helyet biztos\u00edt. A csavarok \u00e9s az azokat \u00f6sszek\u00f6t\u0151 rudak behelyez\u00e9se percutan technik\u00e1val, folyamatos r\u00f6ntgenellen\u0151rz\u00e9s mellett t\u00f6rt\u00e9nik.\nEredm\u00e9nyek \u2013 Az endoszk\u00f3pos technika a nyitott m\u0171t\u00e9thez k\u00e9pest cs\u00f6kkenti a k\u00f3rh\u00e1zi tart\u00f3zkod\u00e1s idej\u00e9t, a m\u0171t\u00e9ti k\u00f6zbeni v\u00e9rvesztes\u00e9get \u00e9s a m\u0171t\u00e9t ut\u00e1ni f\u00e1jdalmat, \u00edgy ler\u00f6vid\u00edti a gy\u00f3gyul\u00e1si id\u0151t is. Az endoszk\u00f3pos technika alkalmaz\u00e1sa ut\u00e1n a posztoperat\u00edv szomsz\u00e9dos szegmentinstabilit\u00e1s incidenci\u00e1ja kisebb a ny\u00edlt m\u0171t\u00e9ti verzi\u00f3hoz k\u00e9pest. A betegel\u00e9gedetts\u00e9get jelent\u0151sen n\u00f6velik az eszt\u00e9tikailag kev\u00e9sb\u00e9 zavar\u00f3 r\u00f6videbb metsz\u00e9sek, ezen t\u00falmen\u0151en a rehabilit\u00e1ci\u00f3 id\u0151szaka r\u00f6vid\u00fclhet, \u00e9s a munk\u00e1hoz val\u00f3 visszat\u00e9r\u00e9s is gyorsulhat.\nK\u00f6vetkeztet\u00e9s \u2013 Az endoszk\u00f3pos \u00e9s percutan csavarbehelyez\u00e9si technik\u00e1val t\u00e1rs\u00edtott m\u0171t\u00e9ti elj\u00e1r\u00e1s alkalmas \u00e9s biztons\u00e1gos m\u00f3dszer a csigolyaelcs\u00fasz\u00e1sok kezel\u00e9s\u00e9re, \u00e9s biztos\u00edtja a minim\u00e1lisan invaz\u00edv technik\u00e1k \u00f6sszes el\u0151ny\u00e9t.<\/jats:p>","DOI":"10.18071\/isz.78.0257","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T08:25:05Z","timestamp":1753345505000},"page":"257-261","source":"Crossref","is-referenced-by-count":0,"title":["Csigolyaelcs\u00fasz\u00e1s kombin\u00e1lt endoszk\u00f3pos \u00e9s percutan m\u0171t\u00e9ti kezel\u00e9se : technikai ismertet\u0151"],"prefix":"10.18071","volume":"78","author":[{"given":"G\u00e1bor","family":"Czigl\u00e9czki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Pad\u00e1nyi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"Ber\u00e9nyi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2144-5298","authenticated-orcid":false,"given":"P\u00e9ter","family":"Banczerowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7411","published-online":{"date-parts":[[2025]]},"container-title":["Ideggy\u00f3gy\u00e1szati szemle"],"original-title":[],"link":[{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/combined-endoscopic-and-percutaneous-technique-to-treat-lumbar-spondylolisthesis-technical-note\/pdf-open","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T08:25:06Z","timestamp":1753345506000},"score":1,"resource":{"primary":{"URL":"https:\/\/elitmed.hu\/en\/publications\/clinical-neuroscience\/combined-endoscopic-and-percutaneous-technique-to-treat-lumbar-spondylolisthesis-technical-note"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.18071\/isz.78.0257","relation":{},"ISSN":["0019-1442","2498-6208"],"issn-type":[{"type":"print","value":"0019-1442"},{"type":"electronic","value":"2498-6208"}],"subject":[],"published":{"date-parts":[[2025]]}}}