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Takes the pressure

The main indications for cervical full-endoscopic operations are "soft" spinal disc herniations with radicular symptoms. Two basic instrument sets are available for use in the cervical spine. They are designed specifically for the special anatomical requirements of an anterior approach and a posterior approach.

 

The quality of the optics, and the special design of the instrument sets, allow for a quality of endoscopic surgery equivalent to lumbar procedures. The customized instruments and standardized techniques are important enablers for the success of these innovative surgical methods used on the cervical spine.

 

Posterior technique

The posterior cervical instrument system includes a specially designed instrument set and a well defined, repeatable, technique for the posterior approach to the cervical spinal canal. 

The instrumentation includes bone burrs that give the surgeon the ability to perform bone resection under visualization in the area of the foramen, the uncinate process or the posterior edge of the spinal column.  Since the cervical spinal cord cannot be manipulated, the posterior approach is limited to herniations where the main portion of the herniation is localized laterally to the lateral edge of the spinal cord.  Under the proper indications, the posterior cervical system provides an excellent endoscopic alternative to open techniques.

VERTEBRIS cervical posterior

  • High resolution HD endoscopes with shorter working length for full-endoscopic posterior approach.
  • Optimized ratio of large working channel (3.1mm) to outside diameter (7mm) for minimal invasive access and effective operation.
  • Fluid management optimized by engineered dimensioning of inflow and outflow preventing neural compression by high pressures of the irrigation fluid.
  • Working Sleeves with atraumatic distal design to protect neural structures.
  • Stable grasping forceps and punches with shorter working length and overload protection for posterior approach.
  • Endoscopic high-speed drill system with reusable and disposable tools for mechanical bone and soft tissue resection for cervical foraminotomy.
  • TipControl RF electrodes for high frequency coagulation.

Radiofrequency Surgical System   Burrs and Shaver System

Anterior technique

Herniations presenting with their main portion located medially to the lateral edge of the spinal cord are regarded as indications for an anterior approach to the cervical spine.

The anterior cervical system includes a custom designed dilator-sleeve system which interfaces with a unique cervical endoscope, as well as specialized instrumentation, to provided excellent access to the posterior disc area.  The full-endoscopic anterior cervical approach provides a significantly less traumatic alternative to conventional ACDF surgery.

VERTEBRIS cervical anterior

  • Special access system with oval working sleeves to minimize the outer diameter and intradiscal trauma.
  • High resolution HD endoscopes, without integrated working channel, interfacing with the oval working sleeves for full-endoscopic anterior cervical approach.
  • Endoscope adapter to control the distance between endoscope and working sleeve for more ergonomic work.
  • Fluid management optimized by engineered dimensioning of inflow and outflow preventing neural compression by high pressures of the irrigation fluid.
  • Stable forceps up to 3mm diameter and punches with overload protection for effective soft tissue and bone resection.
  • Endoscopic high-speed burr system with reusable and disposable tools for mechanical bone and soft tissue resection.
  • TipControl RF electrodes for high frequency coagulation.

Radiofrequency Surgical System   Burrs and Shaver System

Education

The RIWOspine education program offers excellent opportunities to learn about full-endoscopic techniques for spine surgery and interventional percutaneous spine pain therapy.

The program is a comprehensive training concept, consisting of different modules that progress physicians toward successful implementation of these innovative techniques in their hospitals or surgery centers.

More information

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RIWOspine USA