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Fully endoscopic cervical spine surgery: What does the future hold?

R Misra1, N K Rath1

  • 1The Walton Centre for Neurology and Neurosurgery, Lower Lane, Liverpool, L97LJ, UK.

Journal of Clinical Orthopaedics and Trauma
|October 11, 2021
PubMed
Summary

Fully endoscopic cervical spine surgery offers a novel approach to decompress the cervical spine. This review explores its potential to reduce costs and risks compared to traditional open fusion methods.

Keywords:
Endoscopic anterior cervical discectomyEndoscopic transcorporeal cervical discectomyFully endoscopic cervical foraminotomyFully endoscopic spine surgery

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Minimally Invasive Techniques

Background:

  • Cervical spinal pathologies require surgical decompression of the central canal or foramen.
  • Traditional open techniques for cervical spine surgery carry inherent risks and costs.
  • Endoscopic approaches are emerging as alternatives for spinal procedures.

Purpose of the Study:

  • To provide an overview of the advancements in fully endoscopic cervical spine surgery.
  • To evaluate the potential of endoscopic techniques to reduce costs associated with cervical fusion.
  • To assess the potential of endoscopic techniques to reduce risks associated with cervical fusion.

Main Methods:

  • This is a narrative review of the current literature on fully endoscopic cervical spine surgery.
  • The review synthesizes information on both anterior and posterior endoscopic techniques.
  • The focus is on decompression of the cervical spinal canal and foramen.

Main Results:

  • Fully endoscopic techniques are being adapted for various cervical pathologies.
  • These endoscopic methods aim for central and/or foraminal decompression.
  • The review evaluates the potential cost and risk benefits of these novel approaches.

Conclusions:

  • Fully endoscopic cervical spine surgery is an evolving field.
  • Endoscopic approaches may offer a less invasive alternative to open surgery.
  • Further evaluation is needed to confirm reduced costs and risks compared to instrumented cervical fusion.