Work-based endoscopic spine sleeve of anterior cervical decompression and fusion.docVIP

 PAGE \* MERGEFORMAT 27 Work-based endoscopic spine sleeve of anterior cervical decompression and fusion Abstract observe the work-based sleeve endoscopic anterior cervical decompression and fusion of the clinical feasibility and effect. [Methods] Metrx discectomy system and restructuring the work of self-sleeve, vacuum devices, a total of 15 cases of cervical spondylotic myelopathy were implemented for endoscopic anterior cervical decompression and fusion. Surgical Methods: Partial right anterior transverse incision, about 2 cm. The nerve sheath and the visceral vascular sheath to the prevertebral anatomy between the fingers, insert the expansion of the order of the sleeve pipe and the original work or home-made arms, a shortened working sleeve. Endoscopic down with anterior decompression and autogenous iliac bone block fusion. [Results] Once the working sleeve stable fixation, surgery patients with mild discomfort; endoscopic inter-disc organization, osteophytes, posterior longitudinal ligament and spinal structure shows clearly. After the sleeve to shorten the work to improve the operation field illumination, field of vision is more clear, workable space for an increase in pressure relief devices; into his arms after fixation stability has improved, but still can not completely avoid surgery sleeve movement. Intraoperative blood loss 80 ~ 800 ml, operative time was 80 ~ 210 min; neck incision are in complete healing within 1 week. Postoperative throat discomfort mild, non-and surgical-related complications. Postoperative MRI in all cases were prompted to complete decompression, with varying degrees of spinal cord function improved. [Conclusion] Based on the work of the inner sleeve endoscopic anterior cervical decompression surgery is feasible, with the more traditional surgical trauma, quick recovery, beautiful neck and neck surgical field illumination clearly the advantages of complete decompression. However, operating within the sleeve less space