Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

A technical case report on use of tubular retractors for anterior cervical spine surgery

A technical case report on use of tubular retractors for anterior cervical spine surgery Purpose The authors put-forth this technical report to establish the feasibility of performing an anterior cervical corpectomy and fusion (ACCF) and a two-level anterior cervical discectomy and fusion (ACDF) using a minimally invasive approach with tubular retractors. Methods First case: cervical spondylotic myelopathy secondary to a large postero-inferiorly migrated disc treated with corpectomy and reconstruction with a mesh cage and locking plate. Second case: cervical disc herniation with radiculopathy treated with a two-level ACDF. Both cases were operated with minimally invasive approach with tubular retractor using a single incision. Technical aspects and clinical outcomes have been reported. Results No intra or post-operative complications were encountered. Intra-operative blood loss was negligible. The patients had a cosmetic scar on healing. Standard procedure of placement of tubular retractors is sufficient for adequate surgical exposure with minimal invasiveness. Conclusion Minimally invasive approach to anterior cervical spine with tubular retractors is feasible. This is the first report on use of minimally invasive approach for ACCF and two-level ACDF. Keywords Tubular retractors · Cervical spine · Minimal invasive spine surgery · Anterior cervical discectomy and fusion · Spinal fusion Introduction become well-accepted surgical procedures for symptomatic cervical myelopathy. These are described as safe and suf- Anterior approach to the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Spine Journal Springer Journals

A technical case report on use of tubular retractors for anterior cervical spine surgery

Kulkarni, Arvind; Patel, Ankit; Ankith, N.
European Spine Journal , Volume 27 (6) – Dec 19, 2017
Download PDF
6 pages

Loading next page...
 
/lp/springer_journal/a-technical-case-report-on-use-of-tubular-retractors-for-anterior-3fp0hv06y0
Publisher
Springer Journals
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Surgical Orthopedics; Neurosurgery
ISSN
0940-6719
eISSN
1432-0932
DOI
10.1007/s00586-017-5423-x
Publisher site
See Article on Publisher Site

Abstract

Purpose The authors put-forth this technical report to establish the feasibility of performing an anterior cervical corpectomy and fusion (ACCF) and a two-level anterior cervical discectomy and fusion (ACDF) using a minimally invasive approach with tubular retractors. Methods First case: cervical spondylotic myelopathy secondary to a large postero-inferiorly migrated disc treated with corpectomy and reconstruction with a mesh cage and locking plate. Second case: cervical disc herniation with radiculopathy treated with a two-level ACDF. Both cases were operated with minimally invasive approach with tubular retractor using a single incision. Technical aspects and clinical outcomes have been reported. Results No intra or post-operative complications were encountered. Intra-operative blood loss was negligible. The patients had a cosmetic scar on healing. Standard procedure of placement of tubular retractors is sufficient for adequate surgical exposure with minimal invasiveness. Conclusion Minimally invasive approach to anterior cervical spine with tubular retractors is feasible. This is the first report on use of minimally invasive approach for ACCF and two-level ACDF. Keywords Tubular retractors · Cervical spine · Minimal invasive spine surgery · Anterior cervical discectomy and fusion · Spinal fusion Introduction become well-accepted surgical procedures for symptomatic cervical myelopathy. These are described as safe and suf- Anterior approach to the

Journal

European Spine Journal – Springer Journals

Published: Dec 19, 2017

References

  • Prospective nonrandomized comparison of an allograft with bone morphogenic protein versus an iliac-crest autograft in anterior cervical discectomy and fusion
    Buttermann, GR
  • Early complications related to approach in cervical spine surgery: single-centre prospective study
    Campbell, PG; Yadla, S; Malone, J
  • Dysphagia after anterior cervical spine surgery: incidence and risk factors
    Kalb, S; Reis, MT; Cowperthwaite, MC
  • Ventral versus dorsal decompression for cervical spondylotic myelopathy: surgeons’ assessment of eligibility for randomization in a proposed randomized controlled trial: results of a survey of the Cervical Spine Research Society
    Ghogawala, Z; Coumans, JV; Benzel, EC
  • Operative treatment of cervical spondylotic myelopathy
    Raj, DR; Krishnaj, G; Kenny, S
  • Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion
    Silber, JS; Anderson, DG; Daffner, SD
  • Efficacy of multilevel anterior cervical discectomy and fusion versus corpectomy and fusion for multilevel cervical spondylotic myelopathy: a minimum 5-year follow-up study
    Song, Kyung-Jin; Lee, Kwang-Bok; Song, Ji-Hoon
  • Oesophageal perforation following anterior cervical spine surgery: case report and review of the literature
    Hershman, Stuart H; Kunkle, William A; Kelly, Michael P
  • Oesophageal perforation after anterior cervical spine surgery: a systematic review of the literature
    Halani, Sameer H; Baum, Griffin R; Riley, Jonathan P
  • Dysphagia after anterior cervical decompression and fusion prevalence and risk factors from a longitudinal cohort study
    Riley, LH; Skolasky, Richard L; Albert, Todd J
  • Full-endoscopic technique for anterior cervical discectomy and interbody fusion: 5-year follow-up results of 67 cases
    Yao, Nuzhao; Wang, Cheng
  • Endoscopic anterior cervical foraminotomy for unilateral radiculopathy: anatomical morphometric analysis and preliminary clinical experience
    Saringer, WF; Reddy, B; Nobauer-Huhmann, I
  • Endoscopic excision of C2 osteoid osteoma: a technical case report
    Amendola, Luca; Cappuccio, Michele
  • Anterior decompression and fusion for cervical myelo-radiculopathy secondary to ossification of the posterior ligament
    Baba, H; Furusawa, N; Tanaka, Y
  • Endoscopic microsurgery in herniated cervical discs
    Fontanella, A
  • Myelopathy hand. New clinical signs of cervical cord damage
    Ono, K; Ebara, S; Fuji, T
  • Microendoscopic excision of C2 osteoid osteoma; a technical report
    Kulkarni, Arvind G; Dhruv, Abhilash N; Bassi, Anupreet
  • Swallowing and speech dysfunction in patients undergoing anterior cervical discectomy and fusion: a prospective, objective preoperative and postoperative assessment
    Frempong-Boadu, A; Houten, JK; Osborn, B
  • Dysphonia and dysphagia after anterior cervical decompression
    Tervonen, H; Niemela, M; Lauri, ER
  • Effects of decreasing endotracheal tube cuff pressures during neck retraction for anterior cervical spine surgery
    Ratnaraj, J; Todorov, A; McHugh, T