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Unilateral Biportal Endoscopic Posterior Cervical Laminectomy and Discectomy Alfonso García, MD Fellow Wooridul Spine Hospital Pohang

Unilateral Biportal Endoscopic Posterior Cervical Laminectomy and Discectomy

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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