Endoscopic partial laminectomy for cervical myelopathy

Shoji YabukiDepartment of Orthopaedic Surgery, Fukushima Medical University, School of Medicine, Fukushima, Japan

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Shin-ichi KikuchiDepartment of Orthopaedic Surgery, Fukushima Medical University, School of Medicine, Fukushima, Japan

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Page Range:
170–174
Volume/Issue:
Volume 2: Issue 2
DOI link:
https://doi.org/10.3171/spi.2005.2.2.0170
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Object. The authors report the results of endoscopic partial laminectomy performed in 10 patients with degenerative cervical compressive myelopathy.

Methods. Endoscopic partial laminectomy was performed safely in 10 patients with cervical myelopathy. All of the patients experienced symptomatic improvement with slight postoperative wound pain. The mean operative duration was 164 ± 35 minutes and the mean intraoperative blood loss was 45.5 ± 27 ml.

Conclusions. Endoscopic partial laminectomy may be used as a minimally invasive alternative for the treatment of cervical compressive myelopathy.

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Contributor Notes

Address reprint requests to: Shoji Yabuki, M.D., D.M.Sc., Department of Orthopaedic Surgery, Fukushima Medical University, School of Medicine, 1 Hikarigaoka, Fukushima City, Fukushima, 960-1295, Japan. email: yabuki@fmu.ac.jp.
  • 1.

    Adamson T, & Broome A: Initial experience with endoscopic posterior cervical laminoforaminotomy for the treatment of cervical radiculopathy. Presented at 26th Cervical Spine Society, Atlanta, 1998 Adamson T, Broome A: Initial experience with endoscopic posterior cervical laminoforaminotomy for the treatment of cervical radiculopathy. Presented at 26th Cervical Spine Society, Atlanta, 1998

    • Search Google Scholar
    • Export Citation
  • 2.

    Brown TR, , Quinn SF, & D'Agostino AN: Deposition of calcium pyrophosphate dihydrate crystals in the ligamentum flavum: evaluation with MR imaging and CT. Radiology 178:871–873, 1991 Brown TR, Quinn SF, D'Agostino AN: Deposition of calcium pyrophosphate dihydrate crystals in the ligamentum flavum: evaluation with MR imaging and CT. Radiology 178:871–873, 1991

    • Search Google Scholar
    • Export Citation
  • 3.

    Burke TG, & Caputy A: Microendoscopic posterior cervical foraminotomy: a cadaveric model and clinical application for cervical radiculopathy. J Neurosurg (Spine 1) 93:126–129, 2000 Burke TG, Caputy A: Microendoscopic posterior cervical foraminotomy: a cadaveric model and clinical application for cervical radiculopathy. J Neurosurg (Spine 1) 93:126–129, 2000

    • Search Google Scholar
    • Export Citation
  • 4.

    Fessler RG, & Khoo LT: Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery 51:S37–S45, 2002 Fessler RG, Khoo LT: Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery 51:S37–S45, 2002

    • Search Google Scholar
    • Export Citation
  • 5.

    Foley KT, & Smith MM: Microendoscopic discectomy. Techn Neurosurg 3:301–307, 1997 Foley KT, Smith MM: Microendoscopic discectomy. Techn Neurosurg 3:301–307, 1997

    • Search Google Scholar
    • Export Citation
  • 6.

    Gaur DD: Laparoscopic operative retroperitoneoscopy: use of a new device. J Urol 148:1137–1139, 1992 Gaur DD: Laparoscopic operative retroperitoneoscopy: use of a new device. J Urol 148:1137–1139, 1992

    • Search Google Scholar
    • Export Citation
  • 7.

    Guyer RD, , Delamarter RB, , Fulp T, & Small S: Complications of cervical spine surgery, in Herkowitz HN, , Eismont FJ, & Garfin SR, et al (eds): The Spine, ed 4. Philadelphia: WB Saunders, 1999, Vol 1, pp 540–552 Guyer RD, Delamarter RB, Fulp T, Small S: Complications of cervical spine surgery, in Herkowitz HN, Eismont FJ, Garfin SR, et al (eds): The Spine, ed 4. Philadelphia: WB Saunders, 1999, Vol 1, pp 540–552

    • Search Google Scholar
    • Export Citation
  • 8.

    Hosono N, , Yonenobu K, & Ono K: Neck and shoulder pain after laminoplasty. A noticeable complication. Spine 21:1969–1973, 1995 Hosono N, Yonenobu K, Ono K: Neck and shoulder pain after laminoplasty. A noticeable complication. Spine 21:1969–1973, 1995

    • Search Google Scholar
    • Export Citation
  • 9.

    Japanese Orthopaedic Association: Scoring system for cervical myelopathy. J Jpn Orthop Assoc 68:490–503, 1994 Japanese Orthopaedic Association: Scoring system for cervical myelopathy. J Jpn Orthop Assoc 68:490–503, 1994

    • Search Google Scholar
    • Export Citation
  • 10.

    Kawano N, , Matsuno T, , Miyazawa S, , Iida H, , Yada K, & Kobayashi N, et al: Calcium pyrophosphate dihydrate crystal deposition disease in the cervical ligamentum flavum. J Neurosurg 68:613–620, 1988 Kawano N, Matsuno T, Miyazawa S, Iida H, Yada K, Kobayashi N, et al: Calcium pyrophosphate dihydrate crystal deposition disease in the cervical ligamentum flavum. J Neurosurg 68:613–620, 1988

    • Search Google Scholar
    • Export Citation
  • 11.

    Konno S, , Yabuki S, , Kinoshita T, & Kikuchi S: Combined laminectomy and thoracoscopic resection of dumbbell-type thoracic cord tumor. Spine 26:E130–E134, 2001 Konno S, Yabuki S, Kinoshita T, Kikuchi S: Combined laminectomy and thoracoscopic resection of dumbbell-type thoracic cord tumor. Spine 26:E130–E134, 2001

    • Search Google Scholar
    • Export Citation
  • 12.

    Lewis RJ, , Caccavale RJ, & Sisler GE: Special report: video-endoscopic thoracic surgery. N J Med 88:473–475, 1991 Lewis RJ, Caccavale RJ, Sisler GE: Special report: video-endoscopic thoracic surgery. N J Med 88:473–475, 1991

    • Search Google Scholar
    • Export Citation
  • 13.

    Mack MJ, , Regan JJ, , Bobechko WP, & Acuff TE: Application of thoracoscopy for diseases of the spine. Ann Thorac Surg 56:736–738, 1993 Mack MJ, Regan JJ, Bobechko WP, Acuff TE: Application of thoracoscopy for diseases of the spine. Ann Thorac Surg 56:736–738, 1993

    • Search Google Scholar
    • Export Citation
  • 14.

    McAfee PC, , Regan JR, , Zdeblick T, , Zucherman J, , Picetti GD III, & Heim S, et al: The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery. A prospective multicenter study comprising the first 100 consecutive cases. Spine 20:1624–1632, 1995 McAfee PC, Regan JR, Zdeblick T, Zucherman J, Picetti GD III, Heim S, et al: The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery. A prospective multicenter study comprising the first 100 consecutive cases. Spine 20:1624–1632, 1995

    • Search Google Scholar
    • Export Citation
  • 15.

    Obenchain TG: Laparoscopic lumbar discectomy: case report. J Laparoendosc Surg 1:145–149, 1991 Obenchain TG: Laparoscopic lumbar discectomy: case report. J Laparoendosc Surg 1:145–149, 1991

    • Search Google Scholar
    • Export Citation
  • 16.

    Ota K, , Igata T, , Kato S, & Yamada S: [Outcome of cervical decompressive fenestration for elderly patients with cervical myelopathy without spinal canal stenosis.] Rinsho-seikeigeka 32:429–433, 1997 (Jpn) Ota K, Igata T, Kato S, Yamada S: [Outcome of cervical decompressive fenestration for elderly patients with cervical myelopathy without spinal canal stenosis.] Rinsho-seikeigeka 32:429–433, 1997 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 17.

    Otani K, , Kikuchi S, & Sato K, et al: [Surgical results of segmental laminotomy for cervical spondylotic myelopathy. A comparison to open-door laminoplasty.] J Jpn Orthop Assoc 75:S97, 2001 (Jpn) Otani K, Kikuchi S, Sato K, et al: [Surgical results of segmental laminotomy for cervical spondylotic myelopathy. A comparison to open-door laminoplasty.] J Jpn Orthop Assoc 75:S97, 2001 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 18.

    Palmer S, , Turner R, & Palmer R: Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system. J Neurosurg (Spine 2) 97:213–217, 2002 Palmer S, Turner R, Palmer R: Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system. J Neurosurg (Spine 2) 97:213–217, 2002

    • Search Google Scholar
    • Export Citation
  • 19.

    Rosenthal D, , Rosenthal R, & de Simone A: Removal of a protruded thoracic disc using microsurgical endoscopy. A new technique. Spine 19:1087–1091, 1993 Rosenthal D, Rosenthal R, de Simone A: Removal of a protruded thoracic disc using microsurgical endoscopy. A new technique. Spine 19:1087–1091, 1993

    • Search Google Scholar
    • Export Citation
  • 20.

    Sairyo K, , Katoh S, , Sakamaki T, , Komatsubara S, & Yasui N: A new endoscopic technique to decompress lumbar nerve roots affected by spondylosis. Technical note. J Neurosurg (Spine 3) 98:290–293, 2003 Sairyo K, Katoh S, Sakamaki T, Komatsubara S, Yasui N: A new endoscopic technique to decompress lumbar nerve roots affected by spondylosis. Technical note. J Neurosurg (Spine 3) 98:290–293, 2003

    • Search Google Scholar
    • Export Citation
  • 21.

    Saringer WF, , Reddy B, , Nobauer-Huhmann I, , Regatschnig R, , Reddy M, & Tschabitscher M, et al: Endoscopic anterior cervical foraminotomy for unilateral radiculopathy: anatomical morphometric analysis and preliminary clinical experience. J Neurosurg (Spine 2) 98:171–180, 2003 Saringer WF, Reddy B, Nobauer-Huhmann I, Regatschnig R, Reddy M, Tschabitscher M, et al: Endoscopic anterior cervical foraminotomy for unilateral radiculopathy: anatomical morphometric analysis and preliminary clinical experience. J Neurosurg (Spine 2) 98:171–180, 2003

    • Search Google Scholar
    • Export Citation
  • 22.

    Sato K, & Kikuchi S: [Segmental laminotomy for cervical spondylotic myelopathy.] Spine Spinal Cord 8:127–133, 1995 (Jpn) Sato K, Kikuchi S: [Segmental laminotomy for cervical spondylotic myelopathy.] Spine Spinal Cord 8:127–133, 1995 (Jpn)

    • Search Google Scholar
    • Export Citation
  • 23.

    Sato N, , Kikuchi S, & Sato K: [A comparison of surgical stress between endoscopic surgery and open surgery for lumbar disc herniation.] J Jpn Orthop Assoc 75:S472, 2001 (Jpn) Sato N, Kikuchi S, Sato K: [A comparison of surgical stress between endoscopic surgery and open surgery for lumbar disc herniation.] J Jpn Orthop Assoc 75:S472, 2001 (Jpn)

    • Search Google Scholar
    • Export Citation

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