Abstract
The advantages of endoscopic approaches over conventional open surgery include preservation of normal structures and motion segments, less intraoperative bleeding, and rapid postoperative recovery. The full endoscopic posterior cervical approach has been developed to treat cervical radiculopathy caused by foraminal stenosis or foraminal disc herniation using advanced techniques for preserving the facet joint with its capsule. Furthermore, advanced techniques and instruments have enabled the treatment of cervical spondylotic myelopathy using unilateral laminotomy for bilateral decompression. Therefore, the full endoscopic posterior cervical approach can be used to treat the combined pathologies caused by spinal canal and foraminal stenoses.
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1 Electronic Supplementary Material
Initial drilling of the upper lamina and medial facet joint (MP4 63713 kb)
Broad drilling to thin the superior articular process, lower level lamina, and cranial part of the pedicle (MP4 93331 kb)
Removal of the thinned lamina and superior articular process (MP4 45675 kb)
Thick peridural adhesions are removed to release the nerve root (MP4 12704 kb)
Ventral foraminal decompression using the inclined pedicular-vertebrotomy approach (MP4 97559 kb)
Full endoscopic posterior cervical approach for unilateral laminotomy with bilateral decompression (MP4 285298 kb)
Sealing of the large dural tear using a fibrin sealant patch (MP4 11400 kb)
Discectomy using the inclined pedicular-vertebrotomy approach (MP4 12737 kb)
Nerve root injury during facet drilling (MP4 1803 kb)
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Kim, J.Y., Lee, D.C. (2023). Full Endoscopic Posterior Cervical Spinal Surgery. In: Ahn, Y., Park, JK., Park, CK. (eds) Core Techniques of Minimally Invasive Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-9849-2_11
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DOI: https://doi.org/10.1007/978-981-19-9849-2_11
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