Browse > Article

Clinical Applications of the Tubular Retractor on Spinal Disorders  

Kim, Young-Baeg (Department of Neurosurgery College of Medicine, Chung-Ang University)
Hyun, Seung-Jae (Department of Neurosurgery College of Medicine, Chung-Ang University)
Publication Information
Journal of Korean Neurosurgical Society / v.42, no.4, 2007 , pp. 245-250 More about this Journal
Abstract
Tubular retractor system as a minimally invasive surgery (MIS) technique has many advantages over other conventional MIS techniques. It offers direct visualization of the operative field, anatomical familiarity to spine surgeons, and minimizing tissue trauma. With technical advancement, many spinal pathologies are being treated using this system. Namely, herniated discs, lumbar and cervical stenosis, synovial cysts, lumbar instability, trauma, and even some intraspinal tumors have all been treated through tubular retractor system. Flexible arm and easy change of the tube direction are particularly useful in contralateral spinal decompression from an ipsilateral approach. Careful attention to surgical technique through narrow space will ensure that complications are minimized and will provide improved outcomes. However, understanding detailed anatomies and keeping precise surgical orientation are essential for this technique. Authors present the technical feasibility and initial results of use a tubular retractor system as a minimally invasive technique for variaties of spinal disorders with a review of literature.
Keywords
Tubular retractor; Minimally invasive surgery; Spinal disorders; Microendoscopic discectomy;
Citations & Related Records

Times Cited By Web Of Science : 1  (Related Records In Web of Science)
연도 인용수 순위
  • Reference
1 Hashizume H, Kawakami M, Kawai M, Tamaki T : A clinical case of endoscopically assisted anterior screw fixation for the type II odontoid fracture. Spine 28 : E102-105, 2003   DOI
2 Adamson TE : Microendoscopic posterior cervical laminoforaminotomy for unulateral radiculopathy : results of a new technique in 100 cases. J Neurosurg Spine 95 (Suppl 1) : 51-57, 2001   DOI
3 Aldrich F : Posterolateral microdiscectomy for cervical monoradiculopathy caused by posterolateral soft cervical disc sequestration. J Neurosurg 72 : 370-377, 1990   DOI
4 Foley KT, Smith MM : Microendoscopic discectomy. Tech Neurosurg 3 : 301-307, 1997
5 Hams JG, Jeszebszky D : The unilateral transforaminal approach for posterior lumbar interbody fusion. Orthop Traumatol 6 : 88-99, 1998
6 Jho HD : Endoscopic transpedicular thoracic discectomy. Neurosurg Focus 15 : E4, 2000
7 Oakley JC : Spinal cord stimulation : patient selectioon, technique and outcomes. Neurosurg Clin N Am J 14 : 365-380, 2003   DOI   ScienceOn
8 Obenchain TG : Speculum lumbar extraforaminal microdiscectomy. Spine J 1 : 415-420, 2001   DOI   ScienceOn
9 Perez-Cruet MJ, Kim BS, Sandhu F, Smartzis D, Fessler RG : Thoracic microendoscopic discectomy. J Neurosurg 1 : 58-63, 2004
10 Shalyev SG, Mun IK, Mallek GS, Palmer S, Levi AD, Lasner TM, et al : Retrospective analysis and modifications of retractor systems for anterior odontoid screw fixation. Neurosurg Focus 15 : E14, 2004
11 Vogelsang JP : The translaminar approch in combination with a tubular retractor system for the treatment of far cranio-laterally and foraminally extruded lumbar disc herniations. Zentralbl Neurochir 68 : 24-28, 2007   DOI   ScienceOn
12 Palmer S, Turner R, Palmer p : Bilateral decompressive surgery in lumbar spinal stenosis associated with spondylolisthesis : unilateral approach and use of a microscopic and tubular retractor system. Neurosurg Focus 15 : E4, 2002
13 Hilton DL : Minimally invasive tubular access for posterior cervical forminotomy with three-dimensional microscopic visualization and localization with anterior/posterior imaging. Spine J 7 : 154-158, 2007   DOI   ScienceOn
14 Manola L, Holdheimer J : Technical performance of percutaneous and laminectomy leads analyzed by modelling. Neuromodulation 7 : 231-241, 2004   DOI   ScienceOn
15 Fong S, Duplessis S : Minimally invasive lateral mass plating in the treatment of posterior cervical trauma : surgical technique. J Spional Disord Tech 18 : 224-228, 2005
16 Holly LT, Schwender JD, Rouben DP, Foley KT : Minimally invasive transforaminal lumbar interbody fusion : indications, technique, and complications. Neurosurg Focus 15 : E6, 2006
17 Johnson MR, Tomes DJ, Treves JS, Leibrock LG : Minimally invasive implantation of epidural spinal cord neurostimulator electrodes by using a tubular retractor system : technical note. J Neurosurg 100 : 1119- 1121, 2004   DOI   ScienceOn
18 Hams JG, Rollinger H : A one-stage procedure in operative treatment of spondylolisthesis : dorsal traction-reposition and anterior fusion. Z orthop Ihre Grenzeb 120 : 343-437, 1982   DOI   ScienceOn
19 Wang MY, Prusmack CJ, Green BA, Gruen JP, Levi AD : Minimally invasive lateral mass screws in the treatment of cervical facet dislocations : technical note. Neurosurgery 52 : 444-447, 2003   DOI   ScienceOn
20 Issacs RE, Podichetty VK, Santiago P, Sandhu FA, Spears J, Kelly K, et al : Minimally invasive microendocopy-assisted transforaminal lumbar interbody fusion with instrumentation. J Neurosurg Spine 3 : 98-105, 2005   DOI   ScienceOn
21 Beems T, van Dongen RT : Use of a tubular ratractor as a minimally invasive technique fopr epidural plate electrode placement under local anesthesia for spinal cord stiulation : technical note. Neurosuregry 58 (Suppl 1) : ONS-E177, 2006
22 Tomaras CR, Blacklock CB, Parker WD, Harper RL : Outpatient surgical treatment of cervical radiculopathy. J Neurosurg 87 : 41- 43, 1997   DOI   ScienceOn
23 Fessler RG, Khoo LT : Minimally invasive cervical microendoscopic foraminotomy : an initial clinical experience. Neurosurgery 51 (Suppl 2) : 37-45, 2002
24 Hott JS, Henn JS, Sonntag VK : A new table-fixed retractor for anterior odontoid screw fixation : technical note. J Neurosurg 98 (Suppl 3) : 294-296, 2003   PUBMED
25 Joseffer SS, Post N, Cooper PR, FrempongBoadu AK : Minimally invasive atlantoaxial fixation with a polyaxial screw-rod construct : technical case report. Neurosirgery 58 (Suppl 4) : ONS-E375, 2006
26 Tredway TL, Santiago P, Hrubes MR, Song JK, Christie SD, Fessler RG : Minimally invasuice resection of intradural-extramedullary spinal neoplasms. Neurosuregry 59 : E1152, 2006
27 Shiraishi T : A new technique for exposure of the cervical spine laminae : Technical note. J Neurosurg 96 (Suppl 1) : 122-126, 2002   PUBMED
28 Hilton DL Jr, Vardiman AB : Posterior cervical foraminotomy with three-dimensional visualization with minimally invasive tubular retractor (MITR). Oral presentation, AANS/CNS Section on Disorders of the Spine and Peripheral Nerves, 19th Annual Meeting Proceedings. Tampa 29, 2003