Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approach

The techniques for the treatment of cervical disc herniation and cervical myelopathy have evolved over the last two decades. Anterior cervical decompression and fusion has been considered to be the gold standard technique to date. Recently, it has been shown that full-endoscopic spine surgery with u...

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Main Authors: Sagar B Sharma, Jin-Sung Luke Kim, Naveen D Siddappa, Hussam E Jabri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Spine Journal
Subjects:
Online Access:http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=41;epage=53;aulast=Sharma
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author Sagar B Sharma
Jin-Sung Luke Kim
Naveen D Siddappa
Hussam E Jabri
author_facet Sagar B Sharma
Jin-Sung Luke Kim
Naveen D Siddappa
Hussam E Jabri
author_sort Sagar B Sharma
collection DOAJ
description The techniques for the treatment of cervical disc herniation and cervical myelopathy have evolved over the last two decades. Anterior cervical decompression and fusion has been considered to be the gold standard technique to date. Recently, it has been shown that full-endoscopic spine surgery with upgraded technology and instrumentation has the capability to decompress the exiting nerve root and thecal sac effectively in the cervical spine. Good clinical outcomes have been reported in the literature with endoscopic procedures. The full-endoscopic spine technique can be an alternative to avoid interbody fusion surgeries. Successful decompression under constant visualization with a small incision and minimal surgical trauma can be achieved. There are two percutaneous endoscopic cervical spine approaches: anterior and posterior. Decision-making depends on anatomical and pathological considerations. Attaining full-endoscopic cervical spine technique requires a steep learning curve, practical training under the experts, and proper selection of patients. The recent developments related to endoscopic equipment with the availability of better optics, three-dimensional monitors, lighting systems, and newer generation endoscopes have made these techniques applicable in complex surgeries as well. The objective of this review was to provide a technical description of full-endoscopic anterior and posterior cervical spine surgeries and their current status in management of various cervical spine pathologies.
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spelling doaj.art-09b21ea9fbc84d11b8c76535eb5695352022-12-21T18:51:48ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872020-01-0131415310.4103/isj.isj_23_19Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approachSagar B SharmaJin-Sung Luke KimNaveen D SiddappaHussam E JabriThe techniques for the treatment of cervical disc herniation and cervical myelopathy have evolved over the last two decades. Anterior cervical decompression and fusion has been considered to be the gold standard technique to date. Recently, it has been shown that full-endoscopic spine surgery with upgraded technology and instrumentation has the capability to decompress the exiting nerve root and thecal sac effectively in the cervical spine. Good clinical outcomes have been reported in the literature with endoscopic procedures. The full-endoscopic spine technique can be an alternative to avoid interbody fusion surgeries. Successful decompression under constant visualization with a small incision and minimal surgical trauma can be achieved. There are two percutaneous endoscopic cervical spine approaches: anterior and posterior. Decision-making depends on anatomical and pathological considerations. Attaining full-endoscopic cervical spine technique requires a steep learning curve, practical training under the experts, and proper selection of patients. The recent developments related to endoscopic equipment with the availability of better optics, three-dimensional monitors, lighting systems, and newer generation endoscopes have made these techniques applicable in complex surgeries as well. The objective of this review was to provide a technical description of full-endoscopic anterior and posterior cervical spine surgeries and their current status in management of various cervical spine pathologies.http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=41;epage=53;aulast=Sharmaanteriorcervical disc herniationervical foraminotomyfull-endoscopic techniqueminimally invasive spine surgerypecdpercutaneous endoscopyposterior
spellingShingle Sagar B Sharma
Jin-Sung Luke Kim
Naveen D Siddappa
Hussam E Jabri
Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approach
Indian Spine Journal
anterior
cervical disc herniation
ervical foraminotomy
full-endoscopic technique
minimally invasive spine surgery
pecd
percutaneous endoscopy
posterior
title Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approach
title_full Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approach
title_fullStr Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approach
title_full_unstemmed Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approach
title_short Current status of full-endoscopic spine surgery in cervical spine: Anterior and posterior approach
title_sort current status of full endoscopic spine surgery in cervical spine anterior and posterior approach
topic anterior
cervical disc herniation
ervical foraminotomy
full-endoscopic technique
minimally invasive spine surgery
pecd
percutaneous endoscopy
posterior
url http://www.isjonline.com/article.asp?issn=2589-5079;year=2020;volume=3;issue=1;spage=41;epage=53;aulast=Sharma
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AT naveendsiddappa currentstatusoffullendoscopicspinesurgeryincervicalspineanteriorandposteriorapproach
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