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Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis
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Endoscopic Posterior Cervical Foraminotomy: 2-Dimensional Operative Video
Benedikt W Burkhardt1, Joachim M Oertel1
1Department of Neurosurgery, Saarland University Medical Center, Saarland University, Homburg, Germany.
Operative Neurosurgery (Hagerstown, Md.)
|June 28, 2019
Summary
Posterior cervical foraminotomy (PCF) treats cervical radiculopathy. Minimally invasive endoscopic techniques, like the tubular-assisted approach, reduce muscle damage and complications compared to open surgery.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Minimally Invasive Spine Surgery
Background:
- Posterior cervical foraminotomy (PCF) has been a key treatment for cervical radiculopathy since the 1940s.
- Open PCF, while effective, can cause significant muscle damage and postoperative complications.
- Minimally invasive endoscopic techniques aim to reduce surgical trauma.
Observation:
- Indications for PCF include unilateral lateral disc herniation, facet hypertrophy-induced stenosis, and post-anterior surgery radiculopathy.
- Clinical success rates for PCF in treating cervical radiculopathy range from 75% to 96%.
- Two primary endoscopic techniques exist: full-endoscopic (single-handed, irrigated) and endoscopic tubular-assisted (bimanual).
Findings:
- This video details the endoscopic tubular-assisted technique for posterior cervical foraminotomy.
- This method allows for bimanual instrument manipulation under endoscopic visualization.
- Patient consent was obtained for the video demonstration.
Implications:
- Endoscopic tubular-assisted PCF offers a less invasive alternative to open surgery for cervical radiculopathy.
- This technique may reduce collateral tissue damage and associated postoperative complications.
- Further adoption of minimally invasive endoscopic techniques can enhance patient outcomes in degenerative cervical spine treatment.
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