Anterior transcorporeal tunnel approach for cervical myelopathy guided by CT-based intraoperative spinal navigation: Technical note

Quillo-Olvera, Javier; Lin, Guang‐Xun; Suen, Tsz-King; Jo, Hyunjin; Kim, Jin-Sung

doi:10.1016/j.jocn.2017.11.012

Cited by 22 publications

(22 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 2 – 4 , 12 – 21) More recently, anterior transcorporeal procedure using CT-based intraoperative spinal navigation and percutaneous endoscopy were reported. 20 , 21) Transcorporeal approach has some advantage. The endplates are preserved and the degenerative changes at the adjacent segment are lower than microdiscectomy and fusion.…”

Section: Discussionmentioning

confidence: 99%

Microdiscectomy and Foraminotomy in Cervical Spondylotic Myelopathy and Radiculopathy

Okazaki

Nakagawa²,

Mure

et al. 2018

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

This study was to assess the efficacy of microdiscectomy, cage fixation, and right tranuncal foramintomy for the patients suffering from right radiulo-myelopathy. Anterior cervical foraminotomy was reported to be an effective option for the treatment of cervical degenerative radiculopathy but with the problem of recurrence. Since Hakuba reported the method of trans-unco-discal approach in 1976, it was designed as keyhole foraminotomy which was called transuncal approach, transpedicular approach or transvertebral approach. In the anterior approach, we usually use the right-sided approach because most of us are right-handed surgeons. We retrospectively investigated our patients who had the right foraminal stenosis causing radiculopathy and were treated with microdiscectomy, cage fixation, and right keyhole transuncal foraminotomy. Since 2011, 23 patients were treated with the manner. All of the 23 patients who had central canal stenosis and among the 23 patients, 8 patients showed only right radiculopathy and 15 patients showed radiculo-myelopathy. In all patients, the radiculopathy disappeared or significantly improved without any complications postoperatively. The average of VAS scores was 7.6 ± 2.2 in preoperative state, 2.8 ± 2.2 at discharge, and 1.1 ± 1.6 in 1 month after surgery. The average of follow-up time was 38.3 months and they had no recurrence of radiculopathy. We showed that this manner is effective and one option for the combined disease of right foraminal and canal stenosis and we believe that this manner is not complex and safe if we can understand the anatomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Microdiscectomy and Foraminotomy in Cervical Spondylotic Myelopathy and Radiculopathy

Okazaki

Nakagawa²,

Mure

et al. 2018

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…Previous studies have described successful navigation assisted decompression and fixation of the spine with the shorter operation time, high screw placement accuracy, and satisfactory decompression compare with traditional x-ray monitored surgery. 8,10,11 In this review, we will focus on the details of PECD technique. The primary goals are sufficient decompression of nerve root and minimal facet joint resection in the process.…”

Section: Introductionmentioning

confidence: 99%

“…By a navigation system, surgeons can get a 3D guidance of the spine structure and proximity of neurovascular structures in the surgery field. Previous studies have described successful navigation assisted decompression and fixation of the spine with the shorter operation time, high screw placement accuracy, and satisfactory decompression compare with traditional x-ray monitored surgery [ 8 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Posterior Endoscopic Cervical Decompression: Review and Technical Note

Chao

Wu²,

Zheng³

et al. 2020

Neurospine

View full text Add to dashboard Cite

Endoscopic spine surgery for the treatment of degenerative spinal diseases from lumbar to cervical spine has accelerated over the past 2 decades. Posterior endoscopic cervical discectomy (PECD) has been described as a safe, effective, and minimally invasive procedure for cervical radiculopathy or even part of the myelopathy. This procedure also has been validated with comparable outcomes to open and microscopic surgery. Radiculopathy due to foraminal disc herniation or foraminal stenosis should be the optimum indications of this procedure. Intraoperative 3-dimensional navigation can help surgeons to get quick and great quality guidance for endoscopic surgeons. In this review, we will focus on the technical details and evidence-based results of PECD which is a promising procedure for cervical radiculopathy with the advantages of a minimally invasive method.

show abstract

“…The development of minimally invasive techniques that replace traditional open spine surgeries has decreased the incidence of complications, approach-related morbidity and mortality, bleeding, infection, postoperative pain, and hospital stay 12,21 . One of these techniques is image-guided surgeries, which have demonstrated their ability to improve patient outcomes relative to free hand techniques which rely only upon physical landmarks 13,25 .…”

Section: Introductionmentioning

confidence: 99%

Thoracic, Lumbar, and Sacral Pedicle Screw Placement Using Stryker-Ziehm Virtual Screw Technology and Navigated Stryker Cordless Driver 3: Technical Note

Satarasinghe¹,

Hamilton²,

Tarver³

et al. 2018

Preprint

View full text Add to dashboard Cite

Object. Utilization of pedicle screws (PS) for spine stabilization is common in spinal surgery. With reliance on visual inspection of anatomical landmarks prior to screw placement, the free-hand technique requires a high level of surgeon skill and precision. Three-dimensional (3D) computer-assisted virtual neuronavigation improves the precision of PS placement and minimize steps. Methods. Twenty-three patients with degenerative, traumatic, or neoplastic pathologies received treatment via a novel three-step PS technique that utilizes a navigated power driver in combination with virtual screw technology. 1) Following visualization of neuroanatomy using intraoperative CT, a navigated 3-mm match stick drill bit was inserted at anatomical entry point with screen projection showing virtual screw. 2) Navigated Stryker Cordless Driver with appropriate tap was used to access vertebral body through pedicle with screen projection again showing virtual screw. 3) Navigated Stryker Cordless Driver with actual screw was used with screen projection showing the same virtual screw. One hundred and forty-four consecutive screws were inserted using this three-step, navigated driver, virtual screw technique. Results. Only 1 screw needed intraoperative revision after insertion using the three-step, navigated driver, virtual PS technique. This amounts to a 0.69% revision rate. One hundred percent of patients had intraoperative CT reconstructed images to confirm hardware placement. Conclusions. Pedicle screw placement utilizing the Stryker-Ziehm neuronavigation virtual screw technology with a three step, navigated power drill technique is safe and effective.

show abstract

Anterior transcorporeal tunnel approach for cervical myelopathy guided by CT-based intraoperative spinal navigation: Technical note

Cited by 22 publications

References 15 publications

Microdiscectomy and Foraminotomy in Cervical Spondylotic Myelopathy and Radiculopathy

Microdiscectomy and Foraminotomy in Cervical Spondylotic Myelopathy and Radiculopathy

Posterior Endoscopic Cervical Decompression: Review and Technical Note

Thoracic, Lumbar, and Sacral Pedicle Screw Placement Using Stryker-Ziehm Virtual Screw Technology and Navigated Stryker Cordless Driver 3: Technical Note

Contact Info

Product

Resources

About