Chapter-04 Anesthetic consideration for endoscopic spinal surgery

Godschalx, Alexander

doi:10.5005/jp/books/12245_4

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Anterior Cervical Discectomy and Foraminotomy1

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2018

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“…The patient is laid supine with the neck extended and the shoulders taped down. Although it is possible to perform CESS with the patient under analgosedation, with similar regimes to those described for lumbar endoscopic procedures, 15 general anaesthesia limits any potential neck movement and is probably safer.…”

Section: Anterior Cervical Discectomy and Foraminotomymentioning

confidence: 99%

Cervical endoscopic spinal surgery: A review of the current literature

Bucknall

Gibson

2018

J Orthop Surg (Hong Kong)

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Cervical endoscopic spinal surgery (CESS) is now regularly performed in some centres in the Far East, yet rarely in Europe and the United States. This review describes the application of CESS through anterior and posterior approaches with analysis of the available evidence supporting current techniques. An electronic literature search identified 52 papers and proceedings' abstracts of which 25 (16 anterior approach and 9 posterior approach) provided comparable clinical outcomes. The results revealed a good or excellent outcome from CESS in 91% (range 74-100%) with a complication rate of 5%. In a local cohort study, patients had 72% less neck pain (visual analogue scale rating) and 81% less arm pain at 6 months when CESS was used as an isolated procedure, and 74% less neck pain and 83% less arm pain when coupled with disc replacement or fusion at an adjacent level.

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Section: Anterior Cervical Discectomy and Foraminotomymentioning

confidence: 99%