J Korean Neurosurg Soc.  2007 Oct;42(4):245-250. 10.3340/jkns.2007.42.4.245.

Clinical Applications of the Tubular Retractor on Spinal Disorders

• Kim YB
• Hyun SJ

• KMID: 2189249
• DOI: http://doi.org/10.3340/jkns.2007.42.4.245

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.

Keyword

Tubular retractor; Minimally invasive surgery; Spinal disorders; Microendoscopic discectomy

MeSH Terms

Arm
Constriction, Pathologic
Decompression
Intervertebral Disc Displacement
Pathology
Recognition (Psychology)
Spine
Surgical Procedures, Minimally Invasive
Synovial Cyst