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ID Design 2012/DOOEL Skopje, Republic of
Macedonia
Open Access Macedonian Journal of Medical Sciences.
http://dx.doi.org/10.3889/oamjms.2016.106
eISSN: 1857-9655
Clinical Science
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Endoscopic Anatomy and Features
of Anterior Cervical Foraminotomy by Destandau Technique
Keyvan Mostofi1*, Reza Karimi Khouzani2
1Department of Neurosurgery, Centre Clinical, Chirurgie de
Rachis, Soyaux, France; 2Department of Neurosurgery,
International Neurosciences Institute, Hannover, Germany
BACKGROUND: Minimally invasive spine surgery limits surgical trauma
and avoids traditional open surgery so in the majority of cases, recovery is
much quicker and patients have less pain after surgery.
AIM: The authors describe an endoscopic approach to anterior cervical
foraminotomy (ACF) by Destandau's method.
MATERIAL AND METHODS: Anterior cervical foraminotomy by Destandau’s
method is carried out under general anaesthesia. A 3 cm transverse skin
incision is used just slightly past the anterior border of the
sternocleidomastoid's muscle laterally. After exposing and dissecting
superficial cervical fascia, platysma muscle, and deep cervical fascia,
Endospine material designed by Destandau will be inserted. As from this
moment, the procedure will continue using endoscopy.
RESULTS: the Endoscopic approach to anterior cervical foraminotomy by
Destandau's method offers a convenient access to the cervical foraminal
stenosis with fewer complications and negligible morbidity and gives maximum
exposure to discal space with the goal of minimising cutaneous incision.
CONCLUSION: Contrary to the other minimally invasive approaches, the
visual field in foraminotomy by Destandau technique is broad and depending
on the workability of Endospine an adequate access to cervical disc is
possible.
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Citation: Mostofi K, Khouzani RK. Endoscopic
Anatomy and Features of Anterior Cervical Foraminotomy by Destandau
Technique. Open Access Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2016.106
Keywords: Anterior cervical foraminotomy; cervical disk herniation;
minimally invasive spine surgery; endoscopic surgery.
*Correspondence: Keyvan Mostofi. Department of Neurosurgery, Centre
Clinical, Chirurgie de Rachis, Soyaux, France. E-mail: keyvan.mostofi@yahoo.fr
Received: 14-Sep-2016; Revised: 15-Oct-2016; Accepted: 20-Oct-2016; Online
first: 22-Nov-2016
Copyright: © 2016 Keyvan Mostofi, Reza Karimi Khouzani. This is an
open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
Funding: This research did not receive any financial support.
Competing Interests: The authors have declared that no competing
interests exist.
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