Cervical endoscopic spinal surgery: A review of the current literature

Cervical endoscopic spinal surgery (CESS) is now regularly performed in some centres in the Far East, yet rarely in Europe and the United States. This review describes the application of CESS through anterior and posterior approaches with analysis of the available evidence supporting current techniq...

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Main Authors: Vittoria Bucknall, JN Alastair Gibson
Format: Article
Language:English
Published: SAGE Publishing 2018-02-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/2309499018758520
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author Vittoria Bucknall
JN Alastair Gibson
author_facet Vittoria Bucknall
JN Alastair Gibson
author_sort Vittoria Bucknall
collection DOAJ
description Cervical endoscopic spinal surgery (CESS) is now regularly performed in some centres in the Far East, yet rarely in Europe and the United States. This review describes the application of CESS through anterior and posterior approaches with analysis of the available evidence supporting current techniques. An electronic literature search identified 52 papers and proceedings’ abstracts of which 25 (16 anterior approach and 9 posterior approach) provided comparable clinical outcomes. The results revealed a good or excellent outcome from CESS in 91% (range 74–100%) with a complication rate of 5%. In a local cohort study, patients had 72% less neck pain (visual analogue scale rating) and 81% less arm pain at 6 months when CESS was used as an isolated procedure, and 74% less neck pain and 83% less arm pain when coupled with disc replacement or fusion at an adjacent level.
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spelling doaj.art-1e07238478d94d559ad0975e075c43c32022-12-21T17:59:47ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902018-02-012610.1177/2309499018758520Cervical endoscopic spinal surgery: A review of the current literatureVittoria BucknallJN Alastair GibsonCervical endoscopic spinal surgery (CESS) is now regularly performed in some centres in the Far East, yet rarely in Europe and the United States. This review describes the application of CESS through anterior and posterior approaches with analysis of the available evidence supporting current techniques. An electronic literature search identified 52 papers and proceedings’ abstracts of which 25 (16 anterior approach and 9 posterior approach) provided comparable clinical outcomes. The results revealed a good or excellent outcome from CESS in 91% (range 74–100%) with a complication rate of 5%. In a local cohort study, patients had 72% less neck pain (visual analogue scale rating) and 81% less arm pain at 6 months when CESS was used as an isolated procedure, and 74% less neck pain and 83% less arm pain when coupled with disc replacement or fusion at an adjacent level.https://doi.org/10.1177/2309499018758520
spellingShingle Vittoria Bucknall
JN Alastair Gibson
Cervical endoscopic spinal surgery: A review of the current literature
Journal of Orthopaedic Surgery
title Cervical endoscopic spinal surgery: A review of the current literature
title_full Cervical endoscopic spinal surgery: A review of the current literature
title_fullStr Cervical endoscopic spinal surgery: A review of the current literature
title_full_unstemmed Cervical endoscopic spinal surgery: A review of the current literature
title_short Cervical endoscopic spinal surgery: A review of the current literature
title_sort cervical endoscopic spinal surgery a review of the current literature
url https://doi.org/10.1177/2309499018758520
work_keys_str_mv AT vittoriabucknall cervicalendoscopicspinalsurgeryareviewofthecurrentliterature
AT jnalastairgibson cervicalendoscopicspinalsurgeryareviewofthecurrentliterature