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DOI: 10.1055/s-0039-1685182
A Simple Retractor for Anterior Cervical Diskectomy
Publication History
06 August 2018
17 October 2018
Publication Date:
13 August 2019 (online)
![](https://www.thieme-connect.de/media/jnlsa/201906/lookinside/thumbnails/10-1055-s-0039-1685182_182220st-1.jpg)
Abstract
Background The insertion of available cervical retractor systems is relatively complex for the limited exposure required for single-level anterior cervical diskectomy.
Objective To introduce a novel cervical retractor system and report the initial experience of its application.
Methods A simple retractor system was designed that is fixed to the vertebral body through Caspar pins. The design allows the retractor to move with the vertebrae during distraction via the traditional Caspar distractor system. The advantages and limitations of the device based on the initial experience are discussed.
Results The author has used the current version of the retractor on 32 single-level anterior cervical diskectomies. The insertion of the retractor is easy, and its application provides safe and satisfactory anterior cervical exposure. There have not been related complications, although transient dysphagia has not been prevented.
Conclusion This newly designed retractor system is simple and efficient for a single-level anterior cervical diskectomy, and its insertion is relatively easy.
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References
- 1 Oglesby M, Fineberg SJ, Patel AA, Pelton MA, Singh K. Epidemiological trends in cervical spine surgery for degenerative diseases between 2002 and 2009. Spine 2013; 38 (14) 1226-1232
- 2 Borges LF. Thompson-Farley spinal retraction system. Neurosurgery 1993; 33 (01) 160-163
- 3 Caspar W, Barbier DD, Klara PM. Anterior cervical fusion and Caspar plate stabilization for cervical trauma. Neurosurgery 1989; 25 (04) 491-502
- 4 Cloward RB. New method of diagnosis and treatment of cervical disc disease. Clin Neurosurg 1962; 8: 93-132
- 5 Geisler FH, Tamargo RJ, Weingart JD. Modifications to the transverse Caspar cervical retractor blades optimized for a single-level anterior cervical discectomy. J Spinal Disord 1993; 6 (01) 57-59
- 6 Oh S. ‘Oh's Retractor’: new adjustable retractor for anterior cervical approach. Neurol Res 1999; 21 (01) 45-47
- 7 Ozer AF. The latest design of Ozer cervical retractor. Neurol Res 2008; 30 (07) 695-696
- 8 Saunders RL. Table-fixed retractor system for noncranial surgery. Technical note. J Neurosurg 1986; 64 (05) 819-821
- 9 Seex KA. An anterior cervical retractor utilizing a novel principle. J Neurosurg Spine 2010; 12 (05) 547-551
- 10 Takayasu M, Shibuya M, Suzuki Y, Yoshida J. A new table-fixed soft tissue retractor for the anterior cervical spinal surgery. Acta Neurochir (Wien) 1997; 139 (03) 235-237
- 11 Tresserras P. New retractor for a surgical approach to the spine: technical note. Neurosurgery 1994; 35 (01) 161-162