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Unilateral Biportal Endoscopic Posterior Cervical Laminectomy and Discectomy
Unilateral Biportal Endoscopic Posterior Cervical Laminectomy and Discectomy Alfonso Garca, MDFellow Wooridul Spine Hospital Pohang
Case Report 39 yr Male PatientChronic mild pain at neck and left shoulder. CC: Acute onset (1week) severe radiating pain to left arm. VAS 8Unresponsive to medication
PreOp MRI
PreOp MRI
PreOp CT
PreOp CT
Problem listLeft C7 radiculopathyLeft posterolateral cervical herniated disc (C6-7)
Surgical planPosterior Unilateral Biportal Endoscopic Cervical Decompression.
Semispinaliscervicis muscle Approach principles
Follow intermuscular plane
*Shiraishi T, 2012
Technique
Technique
Technique
Technique
Cephalad
Lateral CaudalMedial
PostOp follow upNo radiating pain to left arm.Minor neck pain 2 days PostOp VAS 3Satisfied
Postoperative wound
PreOp PostOp MRI
Advantages of UBE cervical discectomyMuscle preserving surgical procedure. Excellent surgical view.Easy handling of operative instruments.Lower intraspinal pressure than uniportal endoscopic procedure.(Two portals).Surgical procedure is similar to open surgery.
ObastaclesBleeding control.Minimal raise intraspinal pressure due to NS irrigation.Learning curve.
Thank You