Full-endoscopic cervical arcocristectomy for the treatment of spinal stenosis
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Full-endoscopic cervical arcocristectomy for the treatment of spinal stenosis : results of a cadaver study. / Eicker, Sven O; Klingenhöfer, Mark; Stummer, Walter; Steiger, Hans-Jakob; Hänggi, Daniel.
In: EUR SPINE J, Vol. 21, No. 12, 12.2012, p. 2487-91.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Full-endoscopic cervical arcocristectomy for the treatment of spinal stenosis
T2 - results of a cadaver study
AU - Eicker, Sven O
AU - Klingenhöfer, Mark
AU - Stummer, Walter
AU - Steiger, Hans-Jakob
AU - Hänggi, Daniel
PY - 2012/12
Y1 - 2012/12
N2 - PURPOSE: Cervical spondylotic myelopathy is a multifactorial disease that is directly correlated by the degree of spinal stenosis. Surgery remains the best therapy. A posterior approach is often recommended in patients with multilevel dorsal cervical compression. Aim of the present experimental study was to evaluate the feasibility of a full-endoscopic arcocristectomy in a cadaver study.METHODS: We performed full-endoscopic arcocristectomy on ten formalin-fixed human cervical specimens. Before and after decompression we obtained high-resolution computerized tomography (CT) data to evaluate the diameter of the cervical spinal canal.RESULTS: Overall, surgery was possible on 55 segments in ten cadaver specimens. A mean increase of 4.1 mm (±1.2 mm) in the sagittal diameter of the cervical spinal canal could be achieved (p < 0.05, t test).CONCLUSIONS: The full-endoscopic arcrocristectomy is feasible and achieves a sufficient decompression. This minimal invasive technique protects most of the dorsal structures and therefore probably preserves biomechanical functions, which has to be proven in future studies.
AB - PURPOSE: Cervical spondylotic myelopathy is a multifactorial disease that is directly correlated by the degree of spinal stenosis. Surgery remains the best therapy. A posterior approach is often recommended in patients with multilevel dorsal cervical compression. Aim of the present experimental study was to evaluate the feasibility of a full-endoscopic arcocristectomy in a cadaver study.METHODS: We performed full-endoscopic arcocristectomy on ten formalin-fixed human cervical specimens. Before and after decompression we obtained high-resolution computerized tomography (CT) data to evaluate the diameter of the cervical spinal canal.RESULTS: Overall, surgery was possible on 55 segments in ten cadaver specimens. A mean increase of 4.1 mm (±1.2 mm) in the sagittal diameter of the cervical spinal canal could be achieved (p < 0.05, t test).CONCLUSIONS: The full-endoscopic arcrocristectomy is feasible and achieves a sufficient decompression. This minimal invasive technique protects most of the dorsal structures and therefore probably preserves biomechanical functions, which has to be proven in future studies.
KW - Cadaver
KW - Cervical Vertebrae
KW - Decompression, Surgical
KW - Endoscopy
KW - Humans
KW - Orthopedic Procedures
KW - Spinal Stenosis
U2 - 10.1007/s00586-012-2392-y
DO - 10.1007/s00586-012-2392-y
M3 - SCORING: Journal article
C2 - 22706668
VL - 21
SP - 2487
EP - 2491
JO - EUR SPINE J
JF - EUR SPINE J
SN - 0940-6719
IS - 12
ER -