Transcription:
Hi Im Dr Tony Mork, endoscopic spinal surgeon and today I'd like to take a few minutes to just show you what is possible endoscopically for the treatment of symptomatic cervical foraminal stenosis.
So the problem being tight framinal canals and that nerves getting compressed or pinched either from some bony problem like an overgrowth of Facet Joint the uncle vertebral joint getting enlarged or some disc herniation into canal. In any event the foraminal canal is too tight and the nerve is getting pinched giving rise to shoulder arm and hand pain. So this is the Richard wolf endoscopic cervical set and I just like to just give you a brief demonstration of how this goes. This the cervical spine and if we go ahead and put this I'm going to just aim at a little bit toward you we can get a sense that these are the cervical facets as they overlap at various levels on both sides. But the cervical facet joints lead into the foraminal canal where the nerve actually passes out so this procedure is one of opening a portion of the foraminal canal and i will try to go through that process right here. To do the following first we utilize a small guide in like this to establish where the Facet Joint that we're interested in. So for example in this case at the 5 6 highlighted in red here this pin goes right on top of the area of interest and on top of that is followed by a cannula this is the size of the cane between three and four millimeters and through a very small incision this is past over the guide wire. Once this is passed over the guide wire I have a small obturator that goes down to the facet or the level of Interest. This establishes the initial port through the soft tissues down to the areas and it is followed by a cannula which goes over the operator down to the area of interest and then at this point the initial operator can be removed and a little Rubber seal placed. This allows the port to be established and then at this point the vertebra scope or the arthroscope which is this and can be inserted then down the cannula to the area of interest.
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Blog Post here: https://drtonymork.com/back-pain/foraminal-stenosis/cervical-foraminal-stenosis/
I'm Dr. Tony Mork and I run an Endoscopic Spine Surgery practice in Irvine, California and Naples, FL. I avoid a fusion when possible (which is most situations) and provide treatments that actually address the pain without taking an invasive approach.
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