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Cervical Discectomy Scope
Cervical Discectomy Scope
Optic Angle Working Channel Outer-Ø Working length 15° 4.3 mm 6.9 mm 125 mm 15° 5.7 mm 8.4 mm 125 mm POSTERIOR CERVICAL FUSION SURGERY
What is a posterior cervical procedure?
The primary goal of a posterior cervical procedure is to relieve pressure on the nerve roots or spinal cord in the cervical spine using a surgical approach through the back of the body.Posterior Cervical Spine
How is a posterior cervical procedure performed?
During surgery, the patient lies face down. The surgeon makes an incision in the skin on the back of the neck over the vertebra(e) to be treated.Accessing the posterior cervical spine
Depending on the site of compression, removal of the lamina as well as removal of bone spurs may be performed where the nerve roots exit the spinal canal.
Axial view of the cervical spine
There are different types of fixation that may be placed in the neck to help promote posterior cervical fusion.Screw and Rod Fixation
Screws or hooks and rods are used to hold the spinal column in place while fusion occurs or to provide stability. The screws are inserted into the left and right sides of the vertebrae to be fused. A rod connects the screws to stabilize the spine on each side. Caps secure each screw to the rod.
Bone graft may be added along the side of the vertebrae to help with fusion. Once the surgery is complete, the surgeon closes the incision and moves the patient into recovery.
Over time, the vertebrae can grow together through fusion. Complete fusion varies among patients and can take a few months to a couple of years.
Posterior Cervical Screws and Rods
Laminoplasty Plate
Laminoplasty is a surgical procedure in which the lamina is repositioned to relieve the symptoms caused by spinal cord compression. The lamina is a bony structure at the rear of the vertebra. Each vertebra includes two laminae that form the roof over the spinal canal to protect the back of the spinal cord.
Decompression is achieved by opening and elevating the lamina to alleviate pressure on the spinal cord. The surgeon lifts one side of the lamina to widen the spinal canal and relieve pressure.
To hold the lamina open, the surgeon may insert an implant such as a laminoplasty plate.
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Interlaminar / Stenosis Endoscopy
Stenosis System
Optic Angle Working Channel Outer-Ø Working length 15° 5.7 mm 8.4 mm 125 mm 15° 7.1 mm 10.0 mm 125,139 mm INTRALAMINAR LUMBAR ENDOSCOPIC DISCECTOMY
What is an intralaminar lumbar endoscopic discectomy?
Intralaminar lumbar endoscopic discectomy is performed through a small tube placed through a small skin incision in the lower back. The small tube allows the surgeon to place an endoscope through the tube and to use tools through the endoscope to remove disc (discectomy) or to free the nerve from compression. Endoscopic means that the surgeon performs the procedure through a channel in the endoscope, while watching with the endoscope camera.How is a intralaminar lumbar endoscopic discectomy performed?
Intralaminar lumbar endoscopic discectomy is a minimally invasive procedure for the treatment of pain arising from a disc herniation compressing or irritating the nerves of the spine. To start the procedure, a tiny skin nick is made on the skin of the lower back. A small tube is placed through the skin and, using the endoscopic camera and x-ray guidance, the tube is advanced to a natural opening of the spine, the intralaminar space. This effaces normally covered by a ligament. A tiny opening is made in the ligament, allowing the tube and endoscopic camera to be carefully placed in the spinal canal. The spinal canal is the opening in the back of the spine which runs from top to bottom. All of the spine nerves travel to the canal. Using the endoscopic camera for guidance, we nerves are carefully moved to side to expose the injured disc. The injured portion of the disc is then carefully removed.What are the advantages of intralaminar lumbar endoscopic discectomy?
This procedure allows the identical type of surgery as a traditional discectomy but to a much smaller opening. The tube used for this surgery is 8 mm, as opposed to over 20 mm in a traditional microdiscectomy. The use of a smaller tube means a incision and a smaller opening into the spinal canal. The smaller opening results in less damage to healthy tissues and an easier recovery.How long will the procedure take?
The procedure typically takes an hour to an hour and a half, depending on how many levels are operated on. After the procedure you will recover for two to four hours before going home.What is the recovery like?
You will walk out the door and go home the same day with pain medications. For the first two to three days we advise plenty of rest with light stretching exercises. Activity should be tolerably increased over 7 days and should consist of short walks at first and a gradual return to normal daily activities. Avoid strenuous activity and heavy lifting (over 10 to 15 pounds) for the first several months. If one’s job is sedentary then work can be resumed in 7 days. At 4 weeks physical therapy can be resumed. Since the procedure is minimally invasive rehabilitation will generally be easier and faster than with traditional surgery. Recovery time will vary based on individual factors. -
Transforaminal Spinal Endoscopy
Transforaminal Spinal Endoscopy
Optic Angle Working Channel Outer-Ø Working length 30° 3.7 mm 6.3 mm 181 mm 30° 4.3 mm 6.9 mm 181 mm ENDOSCOPIC TRANSFORAMINAL LUMBAR DISECTOMY
What is a Endoscopic Transforaminal Lumbar Disectomy?
Percutaneous means surgery is performed through a needle puncture, instead of a large skin incision. The use of a needle allows the surgeon to access the disc through a tiny opening in the skin and through natural openings in the spine. Once the needle is in place it is exchanged for a small tube that allows an endoscope to pass through it. Endoscopic means that the surgeon performs the procedure through a channel in the endoscope, while watching with the endoscope camera.How is a percutaneous endoscopic lumbar discectomy performed?
Endoscopic Transforaminal Lumbar Disectomy is a minimally invasive procedure for the treatment of lower back pain due to a herniated disk. The patient is face down or lies on their side. A tiny skin nick is made on the skin of the back, near the flank. A needle is then placed through the skin nick and into the disc. A small wire is then placed into the disc, through the needle. The needle is exchanged for a series of small tubes. Using specialized instruments surgery is performed through these tubes. The procedure is guided by an endoscope, placed through the tube, and X-rays.What are the advantages of Endoscopic Transforaminal Lumbar Disectomy?
Because a needle is used to access the disc from the skin a skin incision is not made, only a skin nick. Since the needle arrives to the disc via natural spinal openings healthy tissues are not disrupted. Unlike traditional minimally invasive surgery, muscles are not stripped from bone to access the spine, healthy bone is not removed to access the spinal openings and important spinal ligaments are not VG cut to access the disc. Performing surgery through a tiny skin nick and leaving healthy tissues intact means a same day procedure with a quicker recovery.How long will the procedure take?
The procedure typically takes an hour to an hour and a half, depending on how many levels are operated on. After the procedure you will recover for about two hours before going home.What is the recovery like?
You will walk out the door and go home the same day with pain medications. For the first two to three days we advise plenty of rest with light stretching. Activity should be tolerably increased over 7 days and should consist of short walks at first and a gradual return to normal daily activities. Avoid strenuous activity, heavy lifting (over 10 to 15 pounds) and twisting for the first several months. If your job is sedentary then work can be resumed in 7 days. At 4 weeks physical therapy or chiropractic care can be resumed. Since the procedure is minimally invasive rehabilitation will generally be easier and faster than with traditional surgery. Recovery time will vary based on individual factors.Is a laser used to perform surgery?
The instruments used in endoscopic surgery are state of the art. Traditional surgical instruments have been miniaturized and elongated to fit through the endoscope. Specialized thermal probes are used to ablate diseased tissue through endoscope guidance. In some cases a laser is used to remove bone and disc.Despite the popularity of lasers in medical advertising, it’s important to realize that the laser is simply a tool in the surgeon’s arsenal, and not the surgery itself.
MPDMED | Master in Endoscopic Minimally Invasive Spine Surgery