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J Neurol Surg A Cent Eur Neurosurg 2019; 80(06): 494-497
DOI: 10.1055/s-0039-1685182
Surgical Technique
Georg Thieme Verlag KG Stuttgart · New York

A Simple Retractor for Anterior Cervical Diskectomy

Behzad Eftekhar
1   Department of Neurosurgery, Nepean Hospital, The University of Sydney, Sydney, NSW, Australia
2   Department of Neurosurgery, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia
› Author Affiliations
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Publication History

06 August 2018

17 October 2018

Publication Date:
13 August 2019 (online)

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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.

Keywords

cervical diskectomy - spinal surgery - retractor
 

  • 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
    CrossrefPubMedGoogle Scholar
  • 2 Borges LF. Thompson-Farley spinal retraction system. Neurosurgery 1993; 33 (01) 160-163
    PubMedGoogle Scholar
  • 3 Caspar W, Barbier DD, Klara PM. Anterior cervical fusion and Caspar plate stabilization for cervical trauma. Neurosurgery 1989; 25 (04) 491-502
    CrossrefPubMedGoogle Scholar
  • 4 Cloward RB. New method of diagnosis and treatment of cervical disc disease. Clin Neurosurg 1962; 8: 93-132
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 6 Oh S. ‘Oh's Retractor’: new adjustable retractor for anterior cervical approach. Neurol Res 1999; 21 (01) 45-47
    CrossrefPubMedGoogle Scholar
  • 7 Ozer AF. The latest design of Ozer cervical retractor. Neurol Res 2008; 30 (07) 695-696
    CrossrefPubMedGoogle Scholar
  • 8 Saunders RL. Table-fixed retractor system for noncranial surgery. Technical note. J Neurosurg 1986; 64 (05) 819-821
    CrossrefPubMedGoogle Scholar
  • 9 Seex KA. An anterior cervical retractor utilizing a novel principle. J Neurosurg Spine 2010; 12 (05) 547-551
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 11 Tresserras P. New retractor for a surgical approach to the spine: technical note. Neurosurgery 1994; 35 (01) 161-162
    CrossrefPubMedGoogle Scholar