C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation
The main objective of this case and video is to demonstrate the surgical technique of navigated full-endoscopic decompression and sequestrectomy at the C7–T1 level to alleviate C8 nerve root compression and manage cervicobrachialgia. Cervicobrachialgia resulting from C7–T1 disc herniation is a quite...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2024-12-01
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| Series: | Neurospine |
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| Online Access: | http://e-neurospine.org/upload/pdf/ns-2449002-501.pdf |
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| author | Soubach Saravanan Jean Yves Fournier Alexandre Simonin |
| author_facet | Soubach Saravanan Jean Yves Fournier Alexandre Simonin |
| author_sort | Soubach Saravanan |
| collection | DOAJ |
| description | The main objective of this case and video is to demonstrate the surgical technique of navigated full-endoscopic decompression and sequestrectomy at the C7–T1 level to alleviate C8 nerve root compression and manage cervicobrachialgia. Cervicobrachialgia resulting from C7–T1 disc herniation is a quite rare yet painful condition that can significantly impair motor function in the upper limb. Traditionally, open surgeries can be invasive, with prolonged recovery times and/or fusion of the level with adjacent segment disease. Posterior full-endoscopic approach offers a minimally invasive alternative that allows for quicker recovery, less postoperative pain, and improved outcomes. By preserving motion, it also prevents adjacent segment disease. A 72-year-old female presented with sudden-onset cervicobrachial pain radiating to the ulnar side of the right arm, coupled with paresthesia and weakness of the flexors/interosseous muscles (Medical Research Council=M3). Magnetic resonance imaging confirmed a large right-sided C7–T1 disc herniation compressing the C8 nerve root. A full-endoscopic C7–T1 posterior foraminotomy and sequestrectomy was performed with navigation. The patient experienced immediate relief from pain and improved motor function in the right hand postoperatively. Posterior full-endoscopic foraminotomy and sequestrectomy of the C7–T1 disc herniation is effective for treating cervicobrachialgia due to C8 nerve compression. The minimally invasive approach demonstrated in this video highlights the technique and stresses the advantage of navigation in the lower cervical spine. |
| format | Article |
| id | doaj-art-1322ceed12d047748d514e42b82b69b3 |
| institution | OA Journals |
| issn | 2586-6583 2586-6591 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj-art-1322ceed12d047748d514e42b82b69b32025-08-20T01:55:03ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912024-12-012141168117110.14245/ns.2449002.5011642C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using NavigationSoubach Saravanan0Jean Yves Fournier1Alexandre Simonin2 Departement of Neurosurgery, Sion Cantonal Hospital, Wallis, Switzerland Departement of Neurosurgery, Sion Cantonal Hospital, Wallis, Switzerland Departement of Neurosurgery, Sion Cantonal Hospital, Wallis, SwitzerlandThe main objective of this case and video is to demonstrate the surgical technique of navigated full-endoscopic decompression and sequestrectomy at the C7–T1 level to alleviate C8 nerve root compression and manage cervicobrachialgia. Cervicobrachialgia resulting from C7–T1 disc herniation is a quite rare yet painful condition that can significantly impair motor function in the upper limb. Traditionally, open surgeries can be invasive, with prolonged recovery times and/or fusion of the level with adjacent segment disease. Posterior full-endoscopic approach offers a minimally invasive alternative that allows for quicker recovery, less postoperative pain, and improved outcomes. By preserving motion, it also prevents adjacent segment disease. A 72-year-old female presented with sudden-onset cervicobrachial pain radiating to the ulnar side of the right arm, coupled with paresthesia and weakness of the flexors/interosseous muscles (Medical Research Council=M3). Magnetic resonance imaging confirmed a large right-sided C7–T1 disc herniation compressing the C8 nerve root. A full-endoscopic C7–T1 posterior foraminotomy and sequestrectomy was performed with navigation. The patient experienced immediate relief from pain and improved motor function in the right hand postoperatively. Posterior full-endoscopic foraminotomy and sequestrectomy of the C7–T1 disc herniation is effective for treating cervicobrachialgia due to C8 nerve compression. The minimally invasive approach demonstrated in this video highlights the technique and stresses the advantage of navigation in the lower cervical spine.http://e-neurospine.org/upload/pdf/ns-2449002-501.pdfc7–t1 disc herniationcervicobrachialgiaendoscopic sequestrectomyminimally invasive surgerynavigation |
| spellingShingle | Soubach Saravanan Jean Yves Fournier Alexandre Simonin C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation Neurospine c7–t1 disc herniation cervicobrachialgia endoscopic sequestrectomy minimally invasive surgery navigation |
| title | C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation |
| title_full | C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation |
| title_fullStr | C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation |
| title_full_unstemmed | C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation |
| title_short | C7–T1 Full-Endoscopic Posterior Foraminotomy and Sequestrectomy Using Navigation |
| title_sort | c7 t1 full endoscopic posterior foraminotomy and sequestrectomy using navigation |
| topic | c7–t1 disc herniation cervicobrachialgia endoscopic sequestrectomy minimally invasive surgery navigation |
| url | http://e-neurospine.org/upload/pdf/ns-2449002-501.pdf |
| work_keys_str_mv | AT soubachsaravanan c7t1fullendoscopicposteriorforaminotomyandsequestrectomyusingnavigation AT jeanyvesfournier c7t1fullendoscopicposteriorforaminotomyandsequestrectomyusingnavigation AT alexandresimonin c7t1fullendoscopicposteriorforaminotomyandsequestrectomyusingnavigation |