13.2. Equipment and instruments

For endoscopic removal of cervical intervertebral disc herniation, we use specialized BESS/UBE equipment and instruments.

Equipment

1. Radiolucent operating table.

2.   C-arm.

3.   Arthroscopy tower.

• Monitor.

• Video system (console and camera).

• Light source and light cable.

• Gravity irrigation without a pump, with continuous free fluid outflow.

• Stryker CORE 2 console and handpiece.

• 3 mm cutting burr.

• 3 mm diamond burr.

• Shaver blades (Tomcat, Aggressive Plus, etc.).

• 0° endoscope.

• 30° endoscope — as needed.

4. BONSS ARS600 radiofrequency generator.

• 5 mm RF electrode.

• 1.5 mm RF electrode.

5.   Suction system.

6. Gel head support for the prone position (Gel Prone Head Pad).

7. Body positioner for the prone position (Full-Body Prone Positioner).

Instruments

1. Specialized BESS/UBE instrument set.

2. Dilator set.

3. Kerrison punches: working tip width 2 mm, angle 45°.

4. Rotating Kerrison punches: working tip width 2 mm, angle 45°.

5. 2 mm discotome.

6.   Elevator.

7. Caspar vascular hook.

Photographs of standard instruments — section 1.2.

Photographs of equipment — section 1.3.

References

1. Jung SB, Kim N. Biportal endoscopic spine surgery for cervical disk herniation: a technical notes and preliminary report. Medicine (Baltimore). 2022;101(27):e29751. DOI: 10.1097/MD.0000000000029751.

2. Heo DH. Biportal endoscopic posterior cervical foraminotomy with discectomy for unilateral radicular arm pain due to cervical herniated disc. Neurosurg Focus Video. 2024;10(2):V12. DOI: 10.3171/2024.1.FOCVID23225.

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