MIS Approaches for Cervical Spondylotic Disease
Cervical spondylotic disease is the most common pathology of the cervical spine. Minimally invasive endoscopic surgery (MIS) was introduced to minimize muscle dissection and soft tissue trauma. Foley et al. introduced the first minimally invasive endoscopic approach for lumbar disc disease; this was later applied to the cervical spine. Minimally invasive approaches for the cervical spine have reduced operative times, blood loss, and duration of hospital stays. MIS posterior cervical laminoforaminotomy and discectomy are well-described surgical techniques for the cervical spine. MIS posterior cervical laminectomy, laminoplasty, and posterior cervical fixation have been described, but not widely used. Finally, MIS transfacet fixation techniques have been developed to provide stability to the cervical spine. In this chapter, we will discuss the evidence for using MIS techniques in the cervical spine and discuss different approaches, surgical techniques, and limitations of MIS techniques when operating on the cervical spine.
KeywordsCervical spondylotic disease Minimally invasive endoscopic surgery MIS MIS posterior cervical laminoforaminotomy MIS posterior cervical laminectomy Tissue-sparing posterior cervical transfacet fusion cages
- 10.Chiba K, Ogawa Y, Ishii K, Takaishi H, Nakamura M, Maruiwa H, et al. Long-term results of expansive open-door laminoplasty for cervical myelopathy–average 14-year follow-up study. Spine. 2006;31:2998–3005. https://doi.org/10.1097/01.brs.0000250307.78987.6b.CrossRefPubMedGoogle Scholar
- 11.Chung W-F, Liu S-W, Huang L-C, Chang H-K, Wu J-C, Chen L-F, et al. erious dysphagia following anterior cervical discectomy and fusion: long-term incidence in a national cohort. J Neurosurg Sci. 2017; https://doi.org/10.23736/S0390-5616.17.03970-4.
- 16.Minamide A, Yoshida M, Yamada H, Nakagawa Y, Maio K, Kawai M, et al. Clinical outcomes of microendoscopic decompression surgery for cervical myelopathy. Eur Spine J Off Publ Eur Spine Soc Eur Spinal Deform Soc Eur Sect Cerv Spine Res Soc. 2010;19:487–93. https://doi.org/10.1007/s00586-009-1233-0.CrossRefGoogle Scholar
- 26.Siemionow K, Janusz P, Phillips FM, Youssef JA, Isaacs R, Tyrakowski M, et al. Clinical and radiographic results of indirect decompression and posterior cervical fusion for single-level cervical radiculopathy using an expandable implant with 2-year follow-up. J Neurol Surg Part Cent Eur Neurosurg. 2016;77:482–8. https://doi.org/10.1055/s-0036-1584210.CrossRefGoogle Scholar
- 29.Lenzi J, Nardone A, Passacantilli E, Caporlingua A, Lapadula G, Caporlingua F. Posterior cervical transfacet fusion with facetal spacer for the treatment of single-level cervical radiculopathy: a randomized, controlled prospective study. World Neurosurg. 2017;100:7–14. https://doi.org/10.1016/j.wneu.2016.12.125.CrossRefPubMedGoogle Scholar