Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach
Study Design A preliminary case series study. Purpose For the safety of performing a posterior percutaneous full-endoscopic cervical discectomy. Overview of Literature Because of the lack of space for inserting an outer sheath above the intervertebral disc in the spinal canal, grasping the herniated...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Spine Society
2020-08-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2019-0137.pdf |
| _version_ | 1819277930213146624 |
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| author | Shu Nakamura Mitsuto Taguchi |
| author_facet | Shu Nakamura Mitsuto Taguchi |
| author_sort | Shu Nakamura |
| collection | DOAJ |
| description | Study Design A preliminary case series study. Purpose For the safety of performing a posterior percutaneous full-endoscopic cervical discectomy. Overview of Literature Because of the lack of space for inserting an outer sheath above the intervertebral disc in the spinal canal, grasping the herniated disc with forceps while retracting the nerves with the forceps itself was required. This procedure produces the risk of inadvertently injuring nerves because of inadequate visualization of the hernia and inadequate protection of the nerve. Methods Our new internal retractor can be inserted into the working channel of a percutaneous full-endoscope, enabling the insertion of a second tool. After partial foraminotomy, the internal retractor and forceps were manipulated to reliably retract the nerve root. Finally, the herniated disc was resected under an endoscopic view. Results All six cases had a good postoperative course, and postoperative neuropathy was not observed. Conclusions This internal retractor allows for the secure resection herniated cervical intervertebral discs. |
| first_indexed | 2024-12-24T00:03:56Z |
| format | Article |
| id | doaj.art-c545969c44674cec810599d3ae072963 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-24T00:03:56Z |
| publishDate | 2020-08-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-c545969c44674cec810599d3ae0729632022-12-21T17:25:03ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462020-08-0114448949410.31616/asj.2019.01371163Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior ApproachShu NakamuraMitsuto Taguchi0Department of Orthopedic Surgery, Aichi Spine Hospital, Inuyama, JapanStudy Design A preliminary case series study. Purpose For the safety of performing a posterior percutaneous full-endoscopic cervical discectomy. Overview of Literature Because of the lack of space for inserting an outer sheath above the intervertebral disc in the spinal canal, grasping the herniated disc with forceps while retracting the nerves with the forceps itself was required. This procedure produces the risk of inadvertently injuring nerves because of inadequate visualization of the hernia and inadequate protection of the nerve. Methods Our new internal retractor can be inserted into the working channel of a percutaneous full-endoscope, enabling the insertion of a second tool. After partial foraminotomy, the internal retractor and forceps were manipulated to reliably retract the nerve root. Finally, the herniated disc was resected under an endoscopic view. Results All six cases had a good postoperative course, and postoperative neuropathy was not observed. Conclusions This internal retractor allows for the secure resection herniated cervical intervertebral discs.http://www.asianspinejournal.org/upload/pdf/asj-2019-0137.pdfspineherniated discdiscectomypercutaneous |
| spellingShingle | Shu Nakamura Mitsuto Taguchi Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach Asian Spine Journal spine herniated disc discectomy percutaneous |
| title | Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach |
| title_full | Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach |
| title_fullStr | Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach |
| title_full_unstemmed | Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach |
| title_short | Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach |
| title_sort | use of an internal retractor for percutaneous full endoscopic resection in cervical intervertebral disc herniation with a posterior approach |
| topic | spine herniated disc discectomy percutaneous |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2019-0137.pdf |
| work_keys_str_mv | AT shunakamura useofaninternalretractorforpercutaneousfullendoscopicresectionincervicalintervertebraldischerniationwithaposteriorapproach AT mitsutotaguchi useofaninternalretractorforpercutaneousfullendoscopicresectionincervicalintervertebraldischerniationwithaposteriorapproach |