Name: Posterior Cervical Endoscopic Foraminotomy at C4/C5
Uploaded: 2024-09-20T00:00:00Z
Channel: Arthrex
Description: This animation reviews the steps for a posterior cervical endoscopic foraminotomy at C4/C5 using the Synergy Vision™ imaging system and a spine-specific endoscope.

<p>This animation reviews the steps for a posterior cervical endoscopic foraminotomy at C4/C5 using the Synergy Vision™ imaging system and a spine-specific endoscope.</p>

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AN2-000605-en-US | A | Posterior Cervical Endoscopic Foraminotomy at C4/C5

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A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

Operationstechnik-Animationen

Surgical Technique Animations

Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

Animações de técnicas cirúrgicas

Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

Animaciones de técnicas quirúrgicas

Posterior Cervical Endoscopic Foraminotomy at C4/C5

Posterior cervical frame. Anatomy. The posterior cervical endoscopic foramina approach from Arthrex is an ultra minimally invasive surgery, ideal for patients who have been diagnosed with certain types of cervical stenosis. In this procedure, an endoscope is used to assist access and visualization. The patient is placed in the prone position. The midline is marked by palpation followed by a second mark one centimeter lateral to the midline. A c-arm is used to verify the correct level or levels being treated using both AP and lateral fluoroscopy. Insert and introducer needle one centimeter lateral to midline. Palpate the upper lamina using the needle. Make a vertical skin incision. Then insert the guidewire oriented 90 degrees to the floor. Adjusting the bed as needed. Insert the switching stick and cannula. Free up tissue by medial to lateral movement of the cannula. Confirm cannula placement using lateral fluoroscopy and ensure its placement is 90 degrees to the spine. Expose the upper and lower lamina, revealing a V point. Using a high speed burr and or keratins, Harrison's remove bone to convert the V to a U. Identify the ligamentum flavum. Working from caudal to cranial. Dissect the Ligamentum flavum using kerosene s and other instruments throughout the procedure. Visualize the working end of the instruments prior to removing tissue by rotating the endoscope. Resect the ligament to view the lateral border of the dura. Once you have identified the lateral border of the dura, the nerve root can be identified. The endoscope and cannula can be rotated 90 degrees to visualize the foramen and nerve. To confirm that decompression is complete. Use a ball tip probe to palpate the pedicle and foramen and confirm a complete decompression via a lateral view. The endoscope and cannula can then be removed, followed by wound closure and placement of a JumpStart bandage.