Home > Journals > Journal of Neurosurgical Sciences > Past Issues > Journal of Neurosurgical Sciences 2017 June;61(3) > Journal of Neurosurgical Sciences 2017 June;61(3):325-34

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

JOURNAL OF NEUROSURGICAL SCIENCES

A Journal on Neurosurgery


Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,522


eTOC

 

REVIEW  


Journal of Neurosurgical Sciences 2017 June;61(3):325-34

DOI: 10.23736/S0390-5616.16.03906-0

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Minimally invasive cervical spine surgery

Branko SKOVRLJ 1, Sheeraz A., QURESHI 2

1 Department of Neurosurgery, North Jersey Spine Group, Wayne, NJ, USA; 2 Department of Orthopaedics, Icahn School of Medicine at Mount Sinai, New York, NY, USA


PDF  


Degenerative disorders of the cervical spine requiring surgical intervention have become increasingly more common over the past decade. Traditionally, open surgical approaches have been the mainstay of surgical treatment. More commonly, minimally invasive techniques are being developed with the intent to decrease surgical morbidity and iatrogenic spinal instability. This study will review four minimally invasive cervical techniques that have been increasingly utilized in the treatment of degenerative cervical spine disease. A series of PubMed-National Library of Medicine searches were performed. Only articles in English journals or with published with English language translations were included. Level of evidence of the selected articles was assessed. The significant incidence of postoperative dysphagia following ACDF has led to the development and increased use of zero-profile, stand-alone anterior cervical cages. The currently available literature examining the safety and effectiveness of zero-profile interbody devices supports the use of these devices in patients undergoing single-level ACDF. A multitude of studies demonstrating the significant incidence and impact of axial neck pain following open posterior spine surgery have led to a wave of research and development of techniques aimed at minimizing posterior cervical paraspinal disruption while achieving appropriate neurological decompression and/or spinal fixation. The currently available literature supports the use of minimally invasive posterior cervical laminoforaminotomy for the treatment of single-level radiculopathy. The literature suggests that fluoroscopically-assisted percutaneous cervical lateral mass screw fixation appears to be a technically feasible, safe and minimally invasive technique. Based on the currently available literature it appears that the DTRAX® expandable cage system is an effective minimally invasive posterior cervical technique for the treatment of single-level cervical radiculopathy. Minimally invasive posterior cervical techniques continue to expand with the improvement of surgical instrumentation, microsurgical techniques and improved understanding of spinal biomechanics. While several MIS approaches already exist, there is a need for advanced and improved techniques for use in posterior cervical surgery.


KEY WORDS: Spine - Neurodegenerative diseases - Minimally invasive surgical procedures - Foraminotomy

top of page

Publication History

Issue published online: March 29, 2017
Article first published online: October 27, 2016

Cite this article as

Skovrlj B, Qureshi SA. Minimally invasive cervical spine surgery. J Neurosurg Sci 2017;61:325-34. DOI: 10.23736/S0390-5616.16.03906-0

Corresponding author e-mail

sheeraz.qureshi@mountsinai.org