Research progress in minimally invasive treatment of cervical nerve root canal stenosis under total endoscope_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

ZHANG Zihan , GAO Jian’an ,  LIAO Wenbo

Department of Spinal Pelvic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi Guizhou, 563000, P.R.China;

Corresponding author：

LIAO Wenbo, Email: wenbo900@sina.com

Keywords：

Cervical nerve root canal stenosis; minimally invasive spine surgery; osseous foraminal stenosis; percutaneous total endoscope

DOI：

10.7507/1002-1892.201906026

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To review the research progress of total endoscopic minimally invasive technique in treating cervical nerve root canal stenosis (CNRCS).Methods The related literature at home and abroad was extensively reviewed. The research history, current situation, research progress, advantages and disadvantages of minimally invasive treatment of CNRCS under total endoscope were summarized.Results In recent years, with the continuous development of minimally invasive technique of total endoscope in spine surgery, the surgical treatment methods are also constantly innovated. Compared with the traditional open surgery, minimally invasive treatment of CNRCS under total endoscope can obtain better effectiveness, keep the stability of the cervical segment to the maximum extent, reduce the impact on the activity of the cervical spine and the occurrence of related surgical complications, which is an effective minimally invasive technology.Conclusion The minimally invasive treatment of CNRCS under total endoscope has achieved some results, which is expected to be one of the indispensable means to treat CNRCS, but it still needs to be improved.

Citation： ZHANG Zihan, GAO Jian’an, LIAO Wenbo. Research progress in minimally invasive treatment of cervical nerve root canal stenosis under total endoscope. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(2): 256-259. doi: 10.7507/1002-1892.201906026 Copy

1.	Yamada T, Yoshii T, Yamamoto N, et al. Surgical outcomes for lumbar spinal canal stenosis with coexisting cervical stenosis (tandem spinal stenosis): a retrospective analysis of 565 cases. J Orthop Surg Res, 2018, 13(1): 60.
2.	Lim CH, Lim JH, Kim D, et al. Bony cochlear nerve canal stenosis in pediatric unilateral sensorineural hearing loss. Int J Pediatr Otorhinolaryngol, 2018, 106: 72-74.
3.	Desai MJ, Padmanabhan G, Simbasivan A, et al. Directional preference following epidural steroid injection in three patients with acute cervical radiculopathy. Pain Pract, 2013, 13(7): 559-565.
4.	Kim MS, Lee DG, Chang MC. Outcome of transforaminal epidural steroid injection according to severity of cervical foraminal stenosis. World Neurosurg, 2018, 110: e398-e403.
5.	Terai H, Suzuki A, Toyoda H, et al. Tandem keyhole foraminotomy in the treatment of cervical radiculopathy: retrospective review of 35 cases. J Orthop Surg Res, 2014, 9: 38.
6.	曾辉, 吴继功, 邹德威, 等. 神经根型颈椎病微创治疗的研究进展. 颈腰痛杂志, 2011, 32(5): 387-389.
7.	叶春平, 朱家骏. 腰椎间盘镜治疗老年性腰神经根管狭窄症的手术疗效. 中国骨伤, 2013, 26(10): 805-809.
8.	Tschugg A, Neururer S, Scheufler KM, et al. Comparison of posterior foraminotomy and anterior foraminotomy with fusion for treating spondylotic foraminal stenosis of the cervical spine: study protocol for a randomized controlled trial (ForaC). Trials, 2014, 15: 437.
9.	Uchida K, Nakajima H, Yayama T, et al. Anterior and posterior decompressive surgery for progressive amyotrophy associated with cervical spondylosis: a retrospective study of 51 patients. J Neurosurg Spine, 2009, 11(3): 330-337.
10.	Oh HS, Hwang BW, Park SJ, et al. Percutaneous endoscopic cervical discectomy (PECD): an analysis of outcome, causes of reoperation. World Neurosurg, 2017, 102: 583-592.
11.	Liao C, Ren Q, Chu L, et al. Modified posterior percutaneous endoscopic cervical discectomy for lateral cervical disc herniation: the vertical anchoring technique. Eur Spine J, 2018, 27(6): 1460-1468.
12.	Wu W, Yan Z. Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy. Eur Spine J, 2018, 27(Suppl 3): 431-435.
13.	Ruetten S, Komp M, Merk H, et al. Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study. Spine (Phila Pa 1976), 2008, 33(9): 940-948.
14.	鲍自立, 倪建平, 田跃军, 等. 全内窥镜技术治疗下腰段腰椎间盘突出症. 实用骨科杂志, 2013, 19(12): 1117-1119.
15.	张斌, 孔清泉, 杨进, 等. 经皮内镜下经椎间孔入路双侧减压治疗重度腰椎中央管狭窄症近期疗效. 中国修复重建外科杂志, 2019, 33(11): 1399-1405.
16.	Bai P, Wang YX, Chen S, et al. Application of endoscopic vein harvesting in obese patients undergoing coronary artery bypass grafting. Curr Med Sci, 2018, 38(4): 691-696.
17.	Clark JG, Abdullah KG, Steinmetz MP, et al. Minimally invasive versus open cervical foraminotomy: a systematic review. Global Spine J, 2011, 1(1): 9-14.
18.	McAnany SJ, Kim JS, Overley SC, et al. A meta-analysis of cervical foraminotomy: open versus minimally-invasive techniques. Spine J, 2015, 15(5): 849-856.
19.	Song Z, Zhang Z, Hao J, et al. Microsurgery or open cervical foraminotomy for cervical radiculopathy? A systematic review Int Orthop, 2016, 40(6): 1335-1343.
20.	Oertel JM, Philipps M, Burkhardt BW. Endoscopic posterior cervical foraminotomy as a treatment for osseous foraminal stenosis. World Neurosurg, 2016, 91: 50-57.
21.	Burkhardt BW, Müller S, Oertel JM. Influence of prior cervical surgery on surgical outcome of endoscopic posterior cervical foraminotomy for osseous foraminal stenosis. World Neurosurg, 2016, 95: 14-21.
22.	Ye ZY, Kong WJ, Xin ZJ, et al. Clinical observation of posterior percutaneous full-endoscopic cervical foraminotomy as a treatment for osseous foraminal stenosis. World Neurosurg, 2017, 106: 945-952.
23.	Zhang C, Wu J, Xu C, et al. Minimally invasive full-endoscopic posterior cervical foraminotomy assisted by O-arm-based navigation. Pain Physician, 2018, 21(3): E215-E223.
24.	Choi G, Pophale CS, Patel B, et al. Endoscopic spine surgery. J Korean Neurosurg Soc, 2017, 60(5): 485-497.
25.	王鹏, 廖文波. 经皮后路全内镜神经根管切开治疗骨性颈神经根管狭窄的手术设计及临床应用. 中国修复重建外科杂志, 2018, 32(5): 536-541.

1. Yamada T, Yoshii T, Yamamoto N, et al. Surgical outcomes for lumbar spinal canal stenosis with coexisting cervical stenosis (tandem spinal stenosis): a retrospective analysis of 565 cases. J Orthop Surg Res, 2018, 13(1): 60.
2. Lim CH, Lim JH, Kim D, et al. Bony cochlear nerve canal stenosis in pediatric unilateral sensorineural hearing loss. Int J Pediatr Otorhinolaryngol, 2018, 106: 72-74.
3. Desai MJ, Padmanabhan G, Simbasivan A, et al. Directional preference following epidural steroid injection in three patients with acute cervical radiculopathy. Pain Pract, 2013, 13(7): 559-565.
4. Kim MS, Lee DG, Chang MC. Outcome of transforaminal epidural steroid injection according to severity of cervical foraminal stenosis. World Neurosurg, 2018, 110: e398-e403.
5. Terai H, Suzuki A, Toyoda H, et al. Tandem keyhole foraminotomy in the treatment of cervical radiculopathy: retrospective review of 35 cases. J Orthop Surg Res, 2014, 9: 38.
6. 曾辉, 吴继功, 邹德威, 等. 神经根型颈椎病微创治疗的研究进展. 颈腰痛杂志, 2011, 32(5): 387-389.
7. 叶春平, 朱家骏. 腰椎间盘镜治疗老年性腰神经根管狭窄症的手术疗效. 中国骨伤, 2013, 26(10): 805-809.
8. Tschugg A, Neururer S, Scheufler KM, et al. Comparison of posterior foraminotomy and anterior foraminotomy with fusion for treating spondylotic foraminal stenosis of the cervical spine: study protocol for a randomized controlled trial (ForaC). Trials, 2014, 15: 437.
9. Uchida K, Nakajima H, Yayama T, et al. Anterior and posterior decompressive surgery for progressive amyotrophy associated with cervical spondylosis: a retrospective study of 51 patients. J Neurosurg Spine, 2009, 11(3): 330-337.
10. Oh HS, Hwang BW, Park SJ, et al. Percutaneous endoscopic cervical discectomy (PECD): an analysis of outcome, causes of reoperation. World Neurosurg, 2017, 102: 583-592.
11. Liao C, Ren Q, Chu L, et al. Modified posterior percutaneous endoscopic cervical discectomy for lateral cervical disc herniation: the vertical anchoring technique. Eur Spine J, 2018, 27(6): 1460-1468.
12. Wu W, Yan Z. Intraoperative total spinal anesthesia as a complication of posterior percutaneous endoscopic cervical discectomy. Eur Spine J, 2018, 27(Suppl 3): 431-435.
13. Ruetten S, Komp M, Merk H, et al. Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study. Spine (Phila Pa 1976), 2008, 33(9): 940-948.
14. 鲍自立, 倪建平, 田跃军, 等. 全内窥镜技术治疗下腰段腰椎间盘突出症. 实用骨科杂志, 2013, 19(12): 1117-1119.
15. 张斌, 孔清泉, 杨进, 等. 经皮内镜下经椎间孔入路双侧减压治疗重度腰椎中央管狭窄症近期疗效. 中国修复重建外科杂志, 2019, 33(11): 1399-1405.
16. Bai P, Wang YX, Chen S, et al. Application of endoscopic vein harvesting in obese patients undergoing coronary artery bypass grafting. Curr Med Sci, 2018, 38(4): 691-696.
17. Clark JG, Abdullah KG, Steinmetz MP, et al. Minimally invasive versus open cervical foraminotomy: a systematic review. Global Spine J, 2011, 1(1): 9-14.
18. McAnany SJ, Kim JS, Overley SC, et al. A meta-analysis of cervical foraminotomy: open versus minimally-invasive techniques. Spine J, 2015, 15(5): 849-856.
19. Song Z, Zhang Z, Hao J, et al. Microsurgery or open cervical foraminotomy for cervical radiculopathy? A systematic review Int Orthop, 2016, 40(6): 1335-1343.
20. Oertel JM, Philipps M, Burkhardt BW. Endoscopic posterior cervical foraminotomy as a treatment for osseous foraminal stenosis. World Neurosurg, 2016, 91: 50-57.
21. Burkhardt BW, Müller S, Oertel JM. Influence of prior cervical surgery on surgical outcome of endoscopic posterior cervical foraminotomy for osseous foraminal stenosis. World Neurosurg, 2016, 95: 14-21.
22. Ye ZY, Kong WJ, Xin ZJ, et al. Clinical observation of posterior percutaneous full-endoscopic cervical foraminotomy as a treatment for osseous foraminal stenosis. World Neurosurg, 2017, 106: 945-952.
23. Zhang C, Wu J, Xu C, et al. Minimally invasive full-endoscopic posterior cervical foraminotomy assisted by O-arm-based navigation. Pain Physician, 2018, 21(3): E215-E223.
24. Choi G, Pophale CS, Patel B, et al. Endoscopic spine surgery. J Korean Neurosurg Soc, 2017, 60(5): 485-497.
25. 王鹏, 廖文波. 经皮后路全内镜神经根管切开治疗骨性颈神经根管狭窄的手术设计及临床应用. 中国修复重建外科杂志, 2018, 32(5): 536-541.

Chinese Journal of Reparative and Reconstructive Surgery

Research progress in minimally invasive treatment of cervical nerve root canal stenosis under total endoscope

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