Endoscopic Anatomy and Features of Anterior Cervical Foraminotomy by Destandau Technique
DOI:
https://doi.org/10.3889/oamjms.2016.106Keywords:
Anterior cervical foraminotomy, cervical disk herniation, minimally invasive spine surgery, endoscopic surgeryAbstract
BACKGROUND: Minimally invasive spine surgery limits surgical trauma and avoids traditional open surgery so in the majority of cases, recovery is much quicker and patients have less pain after surgery.
AIM: The authors describe an endoscopic approach to anterior cervical foraminotomy (ACF) by Destandau's method.
MATERIAL AND METHODS: Anterior cervical foraminotomy by Destandau’s method is carried out under general anaesthesia. A 3 cm transverse skin incision is used just slightly past the anterior border of the sternocleidomastoid's muscle laterally. After exposing and dissecting superficial cervical fascia, platysma muscle, and deep cervical fascia, Endospine material designed by Destandau will be inserted. As from this moment, the procedure will continue using endoscopy.
RESULTS: the Endoscopic approach to anterior cervical foraminotomy by Destandau's method offers a convenient access to the cervical foraminal stenosis with fewer complications and negligible morbidity and gives maximum exposure to discal space with the goal of minimising cutaneous incision.
CONCLUSION: Contrary to the other minimally invasive approaches, the visual field in foraminotomy by Destandau technique is broad and depending on the workability of Endospine an adequate access to cervical disc is possible.Downloads
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References
Robinson R, Smith G. Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull John Hopkins Hosp. 1955;96:223-224.
Aydin Y, Kaya RA, Can SM, Türkmenoğlu O, Cavusoglu H, Ziyal IM. Minimally invasive anterior contralateral approach for the treatment of cervical disc. Surg Neurol. 2005;63(3):210-8. http://dx.doi.org/10.1016/j.surneu.2004.07.001 PMid:15734502 DOI: https://doi.org/10.1016/j.surneu.2004.07.001
Chiu JC, Clifford TJ, Greenspan M, Richley RC, Lohman G, Sison RB. Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiskoplasty. Mt Sinai J Med. 2000; 67(4):278-82. PMid:11021777
Lee SH, Lee JH, Choi WC, Jung B, Mehta R. Anterior minimally invasive approaches for the cervical spine. Orthop Clin North Am. 2007;38(3):327-37. http://dx.doi.org/10.1016/j.ocl.2007.02.007 PMid:17629981 DOI: https://doi.org/10.1016/j.ocl.2007.02.007
Kotilainen E. Percutaneous nucleotomy in the treatment of cervical disc herniation: report of three cases and review. Minim Invasive Neurosurg. 1999;42(3):152-5. http://dx.doi.org/10.1055/s-2008-1053389 PMid:10535300 DOI: https://doi.org/10.1055/s-2008-1053389
Ruetten S, Komp M, Merk H, Godolias G. Full endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations. Int Orthop. 2009; 33(6): 1677–1682. http://dx.doi.org/10.1007/s00264-008-0684-y PMid:19015851 PMCid:PMC2899164 DOI: https://doi.org/10.1007/s00264-008-0684-y
Deng ZL, Chu L, Chen L, Yang JS. Anterior transcorporeal approach of percutaneous endoscopic cervical discectomy for disc herniation at the C4-C5 levels: a technical note. Spine J. 2016;16(5):659-66. http://dx.doi.org/10.1016/j.spinee.2016.01.187 PMid:26850173 DOI: https://doi.org/10.1016/j.spinee.2016.01.187
Kim CH, Kim KT, Chung CK, Park SB, Yang SH, Kim SM, Sung JK. Minimally invasive cervical foraminotomy and diskectomy for laterally located soft disk herniation. Eur Spine J. 2015;24(12):3005-12. http://dx.doi.org/10.1007/s00586-015-4198-1 PMid:26298479 DOI: https://doi.org/10.1007/s00586-015-4198-1
Lee JH, Lee SH. Clinical and radiographic changes after percutaneous endoscopic cervical discectomy: a long-term follow-up. Photomed Laser Surg. 2014;32(12):663-8. http://dx.doi.org/10.1089/pho.2014.3806 PMid:25393058 PMCid:PMC4267406 DOI: https://doi.org/10.1089/pho.2014.3806
Liu KX, Massoud B.Endoscopic anterior cervical discectomy under epidurogram guidance. Surg Technol Int. 2010;20:373-8. PMid:21082589
Ding L, Sun T, Huang Y. Minimally invasive approach for cervical spondylotic radiculopathy. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2010;24(1):104-7. PMid:20135983
Kim CH, Chung CK, Kim HJ, Jahng TA, Kim DG. Early outcome of posterior cervical endoscopic discectomy: an alternative treatment choice for physically/socially active patients. J Korean Med Sci. 2009;24(2):302-6. http://dx.doi.org/10.3346/jkms.2009.24.2.302 PMid:19399274 PMCid:PMC2672132 DOI: https://doi.org/10.3346/jkms.2009.24.2.302
Pflum FA, Selby RM, Vizzone JP. Arthroscopic anterior diskectomy of the cervical spine. Arthroscopy. 2008;24(5):612-4. http://dx.doi.org/10.1016/j.arthro.2007.08.002 PMid:18442696 DOI: https://doi.org/10.1016/j.arthro.2007.08.002
Tan J, Zheng Y, Gong L, Liu X, Li J, Du W. Anterior cervical discectomy and interbody fusion by endoscopic approach: a preliminary report. J Neurosurg Spine. 2008;8(1):17-21. http://dx.doi.org/10.3171/SPI-08/01/017 PMid:18173342 DOI: https://doi.org/10.3171/SPI-08/01/017
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