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Updated: Oct 7, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

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Posterior Cervical Decompression and Fusion With Exoscope: 2-Dimensional Operative Video.

Ethan S Srinivasan¹, Clifford L Crutcher², Christopher I Shaffrey²

¹Duke University School of Medicine, Durham, North Carolina, USA.

Operative Neurosurgery (Hagerstown, Md.)

|January 10, 2022

Summary

This summary is machine-generated.

Posterior cervical decompression and fusion effectively treated cervical spondylotic myelopathy in a 63-year-old man. The exoscope-assisted surgery improved his gait and fine motor control symptoms.

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Area of Science:

Neurosurgery
Orthopedic Surgery

Background:

Cervical spondylotic myelopathy (CSM) is a degenerative condition affecting the cervical spine.
Surgical intervention is often necessary to decompress the spinal cord and stabilize the cervical spine.

Purpose of the Study:

To describe the operative treatment of a patient with CSM using a 4-level posterior cervical laminectomy and fusion.
To highlight the use of an exoscope throughout the surgical procedure.

Main Methods:

A 63-year-old male patient with symptomatic cervical stenosis underwent a 4-level posterior cervical laminectomy and fusion (C3-C7).
The procedure utilized an exoscope for visualization and involved lateral mass screw fixation and rod placement with bone grafting for arthrodesis.

Main Results:

The patient experienced significant improvement in his presenting symptoms of gait dysfunction and loss of fine motor control postoperatively.
No intraoperative or postoperative complications were reported.

Conclusions:

Posterior cervical decompression and fusion is an effective surgical strategy for managing cervical spondylotic myelopathy.
Exoscope-assisted surgery can be safely and effectively employed for complex posterior cervical decompression and fusion procedures.