Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical Note
Objective In clinical practice, noncontinuous two‐segment spinal cord cervical spondylosis is a particular form of cervical degenerative disease. Traditional anterior open surgery frequently comes with severe trauma, risks, and debatable treatment options. This study aimed to describe for the first...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-03-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13988 |
| _version_ | 1797266535044087808 |
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| author | Gang Chen Zhijun Xin Weijun Kong Fujun Wu Xuyan Li Yanyu Qiao Xiang Yan Wenbo Liao |
| author_facet | Gang Chen Zhijun Xin Weijun Kong Fujun Wu Xuyan Li Yanyu Qiao Xiang Yan Wenbo Liao |
| author_sort | Gang Chen |
| collection | DOAJ |
| description | Objective In clinical practice, noncontinuous two‐segment spinal cord cervical spondylosis is a particular form of cervical degenerative disease. Traditional anterior open surgery frequently comes with severe trauma, risks, and debatable treatment options. This study aimed to describe for the first time a novel minimally invasive technique, namely, anterior full‐endoscopic single‐port double transcorporeal spinal cord decompression for the treatment of patients with noncontinuous two‐segment cervical spondylotic myelopathy. Method From February 2020 to May 2021, five patients with noncontinuous two‐segment cervical spondylotic myelopathy were treated with anterior full‐endoscopic single‐port double transcorporeal spinal cord decompression. Two bone channels were established by the trephine through the vertebral body oblique upward and downward to the herniated disc osteophyte complex, and the full‐endoscopic system could decompress the spinal cord through the channels. All cases were followed up for over 2 years. The modified Japanese Orthopaedic Association (mJOA) score and visual analogue scale (VAS) score before and after operation and during follow‐up were used to evaluate the clinical effectiveness. Radiological examinations, including CT and MRI, were utilized to evaluate the efficacy of spinal cord decompression and bone channel repair. Results All operations were successfully completed and the average operation time was 185 min, with no operation‐related complications. Compared with the preoperative evaluation, the mJOA score and VAS score were improved at each time point after operation and follow‐up. Postoperative CT and MRI scans showed that the intervertebral disc‐osteophyte complex was removed through the vertebral bone passage, and the spinal cord was fully decompressed. After 24 months of follow‐up, CT and MRI scans showed that the bone channel was almost repaired and healed. Conclusion Anterior full‐endoscopic single‐port double transcorporeal spinal cord decompression is an effective minimally invasive technique for noncontinuous two‐segment cervical spondylosis. It provides precise and satisfactory spinal cord decompression under endoscopic visualization with minimum trauma. |
| first_indexed | 2024-04-25T01:02:14Z |
| format | Article |
| id | doaj.art-f9c7de39fe9d40e782d7ee9ffae67bdb |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-25T01:02:14Z |
| publishDate | 2024-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-f9c7de39fe9d40e782d7ee9ffae67bdb2024-03-11T02:14:06ZengWileyOrthopaedic Surgery1757-78531757-78612024-03-0116375476510.1111/os.13988Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical NoteGang Chen0Zhijun Xin1Weijun Kong2Fujun Wu3Xuyan Li4Yanyu Qiao5Xiang Yan6Wenbo Liao7Department of Orthopedics The Second Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedic Surgery The Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedics The Second Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedic Surgery The Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedic Surgery The Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedics The Second Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedics The Second Affiliated Hospital of Zunyi Medical University Zunyi ChinaDepartment of Orthopedics The Second Affiliated Hospital of Zunyi Medical University Zunyi ChinaObjective In clinical practice, noncontinuous two‐segment spinal cord cervical spondylosis is a particular form of cervical degenerative disease. Traditional anterior open surgery frequently comes with severe trauma, risks, and debatable treatment options. This study aimed to describe for the first time a novel minimally invasive technique, namely, anterior full‐endoscopic single‐port double transcorporeal spinal cord decompression for the treatment of patients with noncontinuous two‐segment cervical spondylotic myelopathy. Method From February 2020 to May 2021, five patients with noncontinuous two‐segment cervical spondylotic myelopathy were treated with anterior full‐endoscopic single‐port double transcorporeal spinal cord decompression. Two bone channels were established by the trephine through the vertebral body oblique upward and downward to the herniated disc osteophyte complex, and the full‐endoscopic system could decompress the spinal cord through the channels. All cases were followed up for over 2 years. The modified Japanese Orthopaedic Association (mJOA) score and visual analogue scale (VAS) score before and after operation and during follow‐up were used to evaluate the clinical effectiveness. Radiological examinations, including CT and MRI, were utilized to evaluate the efficacy of spinal cord decompression and bone channel repair. Results All operations were successfully completed and the average operation time was 185 min, with no operation‐related complications. Compared with the preoperative evaluation, the mJOA score and VAS score were improved at each time point after operation and follow‐up. Postoperative CT and MRI scans showed that the intervertebral disc‐osteophyte complex was removed through the vertebral bone passage, and the spinal cord was fully decompressed. After 24 months of follow‐up, CT and MRI scans showed that the bone channel was almost repaired and healed. Conclusion Anterior full‐endoscopic single‐port double transcorporeal spinal cord decompression is an effective minimally invasive technique for noncontinuous two‐segment cervical spondylosis. It provides precise and satisfactory spinal cord decompression under endoscopic visualization with minimum trauma.https://doi.org/10.1111/os.13988Cervical spondylotic myelopathyFull‐endoscopic operationMinimally invasive spine surgeryNoncontiguous levelsTranscorporeal approach |
| spellingShingle | Gang Chen Zhijun Xin Weijun Kong Fujun Wu Xuyan Li Yanyu Qiao Xiang Yan Wenbo Liao Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical Note Orthopaedic Surgery Cervical spondylotic myelopathy Full‐endoscopic operation Minimally invasive spine surgery Noncontiguous levels Transcorporeal approach |
| title | Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical Note |
| title_full | Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical Note |
| title_fullStr | Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical Note |
| title_full_unstemmed | Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical Note |
| title_short | Anterior Full‐endoscopic Single‐port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two‐segment Cervical Spondylotic Myelopathy: A Technical Note |
| title_sort | anterior full endoscopic single port double transcorporeal spinal cord decompression for noncontinuous two segment cervical spondylotic myelopathy a technical note |
| topic | Cervical spondylotic myelopathy Full‐endoscopic operation Minimally invasive spine surgery Noncontiguous levels Transcorporeal approach |
| url | https://doi.org/10.1111/os.13988 |
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