A newly developed drill with a polished tip for the anterior cervical approach in spinal canal stenosis: a technical note

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• 作者：Mario Leimert (1)
  Richard Bostelmann (2)
  Tareq A. Juratli (1)
  Hans-Dieter Mikulin (3)
  Bernd Herrmann (4)
  Gabriele Schackert (1)
  Bernd Reitemeier (5)
  
• 关键词：New drill ; Anterior approach ; Anterior cervical decompression and fusion ; Cervical spine
• 刊名：European Spine Journal
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：22
• 期：4
• 页码：809-812
• 全文大小：381KB
• 参考文献：1. Cauthen JC, Kinar RE, Vogler JB et al (1998) Outcome analysis of noninstrumented anterior cervical discectomy and interbody fusion in 348 patients. Spine 23:188鈥?92 CrossRef
  2. Gore DR, Sepic SB (1998) Anterior discectomy and fusion for painful cervical disc disease: a report of 50 patients with an average follow-up of 21聽years. Spine 23:2047鈥?051 CrossRef
  3. Harrop JS, Hanna A, Silva MT, Sharan A (2007) Neurological manifestations of cervical spondylosis: an overview of signs, symptoms and pathophysiology. Neurosurgery 60(1 Suppl 1):S14鈥揝20 Review
  
• 作者单位：Mario Leimert (1)
  Richard Bostelmann (2)
  Tareq A. Juratli (1)
  Hans-Dieter Mikulin (3)
  Bernd Herrmann (4)
  Gabriele Schackert (1)
  Bernd Reitemeier (5)
  
  1. Neurosurgery, University of Dresden, Fetscherstra脽e 74, 01307, Dresden, Germany
  2. University of D眉sseldorf, Moorenstra脽e 5, 40225, D眉sseldorf, Germany
  3. Neurosurgery, Klinikum Dresden-Neustadt, Industriestra脽e 40, 01129, Dresden, Germany
  4. Company Herrmann, Ziegeleiweg 4, 01723, Grumbach, Germany
  5. Dental clinic, University of Dresden, Fetscherstra脽e 74, 01307, Dresden, Germany
  
• ISSN：1432-0932

文摘

Purpose The goal of our efforts was to develop a modified drill that allows a safe milling of the dorsal osteophytes located close to the dura. Methods Usually a normal high-speed drill is used for the resection of uncarthrotic and spondylophytic bone. In one patient, we used our new high-speed drill close to the dura in an area, which is not easy reachable with a normal drill or a rongeur. Results Employing the new drill with a polished tip, the spine surgeon is able to overcome the anatomical restrictions, which he has to face when the anterior approach to the cervical spine. The resection of dorsal osteophytes is easy and safe. Conclusion The newly developed drill with the polished tip is a safe and high-quality alternative to conventional drills. Further investigations have to be done, to proof the advantages of the new drill.