The Vertebris System of RIWO Spine was developed to conduct full-endoscopic decompressions of the spine. Typical indications for the full-endoscopic surgery technique are disc herniations, spinal cysts and stenosis of the spinal canal.
What is the clinical problem?
Disc herniations and stenosis of the spinal canal occur frequently. Until now, such indications have been treated using a microscope. With endoscopy, the incision and the resulting scar tissue can be reduced to a minimum. The sequesters of the disc herniations can be medial and lateral. For treating both, different approaches are used. This preserving surgery technique can increase the patient satisfaction.
How does Vertebris work?
The transforaminal and the extraforaminal accesses are made through the intervertebral foramen. With a spinal cannula, the correct position is determined under x-Ray control. By using a dilator, the working cannula can be inserted and placed. The surgery can be done through the endoscope under continuous irrigation.
If the sequester lays more medial, the interlaminar technique is often used. The acces is done through the posterior interlaminar window. The dilator will be placed on the ligamentum flavum and the working cannula is inserted. All access- and working instruments are designed to preserve nerves.