Destandau’s Approach to the Cervical and Thoracic Spine
Objective Destandau’s endospine technique was initially described for lumbar disc herniation and was later applied for lumbar spinal stenosis. Favorable outcomes have been reported with this technique for lumbar degenerative pathology. This article attempts to review the literature and define the sc...
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| Format: | Article |
| Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2023-04-01
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| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2023-00626.pdf |
| _version_ | 1797821989913624576 |
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| author | Mohinder Kaushal Mukul Kaushal |
| author_facet | Mohinder Kaushal Mukul Kaushal |
| author_sort | Mohinder Kaushal |
| collection | DOAJ |
| description | Objective Destandau’s endospine technique was initially described for lumbar disc herniation and was later applied for lumbar spinal stenosis. Favorable outcomes have been reported with this technique for lumbar degenerative pathology. This article attempts to review the literature and define the scope of Destandau’s technique in cervical and thoracic pathologies. Methods A literature search for the keywords “Destandau” and “endospine” was performed in the PubMed, Cochrane, Scopus, Embase, and MEDLINE databases. The review was conducted according to the Scale for the Assessment of Narrative Review Articles (SANRA) tool. Results In total, 91 studies were found, out of which three studies employed Destandau’s endospine technique for cervical and thoracic pathologies. Three book chapters describing the Destandau technique in cervical pathology and intradural tumor excision were also included in the review. The technique has been successfully employed by various authors for an anterior or posterior cervical approach to disc herniation, cord decompression, and excision of intradural extra-medullary lesions of the spinal canal. No studies mentioned using the Destandau technique for thoracic disc herniation, traumatic fractures, or ossified ligamentum flavum decompression. Conclusion Destandau’s endoscopic technique has been applied successfully in anterior and posterior cervical approaches for cervical disc herniation, myelopathy and intradural tumors, and its advantages include less pain, minimal muscle damage, shorter hospital stays, and the preservation of spinal stability/segment mobility. Further studies comparing various techniques would help choose the most patient-friendly technique for specific pathologies. |
| first_indexed | 2024-03-13T10:02:10Z |
| format | Article |
| id | doaj.art-620be851fe614a67a37af2483aa415ff |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-03-13T10:02:10Z |
| publishDate | 2023-04-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-620be851fe614a67a37af2483aa415ff2023-05-23T05:01:32ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432023-04-0181899610.21182/jmisst.2023.00626169Destandau’s Approach to the Cervical and Thoracic SpineMohinder Kaushal0Mukul Kaushal1 Department of Orthopedics and Minimal Access Surgery, Trinity Hospital and Medical Research Institute, Mohali, India Department of Orthopedics and Minimal Access Surgery, Trinity Hospital and Medical Research Institute, Mohali, IndiaObjective Destandau’s endospine technique was initially described for lumbar disc herniation and was later applied for lumbar spinal stenosis. Favorable outcomes have been reported with this technique for lumbar degenerative pathology. This article attempts to review the literature and define the scope of Destandau’s technique in cervical and thoracic pathologies. Methods A literature search for the keywords “Destandau” and “endospine” was performed in the PubMed, Cochrane, Scopus, Embase, and MEDLINE databases. The review was conducted according to the Scale for the Assessment of Narrative Review Articles (SANRA) tool. Results In total, 91 studies were found, out of which three studies employed Destandau’s endospine technique for cervical and thoracic pathologies. Three book chapters describing the Destandau technique in cervical pathology and intradural tumor excision were also included in the review. The technique has been successfully employed by various authors for an anterior or posterior cervical approach to disc herniation, cord decompression, and excision of intradural extra-medullary lesions of the spinal canal. No studies mentioned using the Destandau technique for thoracic disc herniation, traumatic fractures, or ossified ligamentum flavum decompression. Conclusion Destandau’s endoscopic technique has been applied successfully in anterior and posterior cervical approaches for cervical disc herniation, myelopathy and intradural tumors, and its advantages include less pain, minimal muscle damage, shorter hospital stays, and the preservation of spinal stability/segment mobility. Further studies comparing various techniques would help choose the most patient-friendly technique for specific pathologies.http://www.jmisst.org/upload/pdf/jmisst-2023-00626.pdfdestandau techniqueendospinecervical discintradural tumorendoscopic spine surgeryminimally invasive spine surgery |
| spellingShingle | Mohinder Kaushal Mukul Kaushal Destandau’s Approach to the Cervical and Thoracic Spine Journal of Minimally Invasive Spine Surgery and Technique destandau technique endospine cervical disc intradural tumor endoscopic spine surgery minimally invasive spine surgery |
| title | Destandau’s Approach to the Cervical and Thoracic Spine |
| title_full | Destandau’s Approach to the Cervical and Thoracic Spine |
| title_fullStr | Destandau’s Approach to the Cervical and Thoracic Spine |
| title_full_unstemmed | Destandau’s Approach to the Cervical and Thoracic Spine |
| title_short | Destandau’s Approach to the Cervical and Thoracic Spine |
| title_sort | destandau s approach to the cervical and thoracic spine |
| topic | destandau technique endospine cervical disc intradural tumor endoscopic spine surgery minimally invasive spine surgery |
| url | http://www.jmisst.org/upload/pdf/jmisst-2023-00626.pdf |
| work_keys_str_mv | AT mohinderkaushal destandausapproachtothecervicalandthoracicspine AT mukulkaushal destandausapproachtothecervicalandthoracicspine |