14.2. Equipment and instruments
@ProfFishchenkoSpecialized equipment and instruments are required for endoscopic decompression of cervical foraminal stenosis.
Equipment
1. Radiolucent operating table.
2. C-arm.
3. Endoscopy tower and irrigation system:
• Monitor.
• Video system: console and camera.
• Light source and light cable.
• Gravity irrigation without a pump.
• Stryker CORE 2 console and handpiece.
• 3 mm cutting burr.
• 3 mm diamond burr.
• Shaver blade (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 instruments — section 1.2
Photographs of equipment — section 1.3
References
1. Song KS, Lee CW. The biportal endoscopic posterior cervical inclinatory foraminotomy for cervical radiculopathy: technical report and preliminary results. Neurospine. 2020;17(Suppl 1):S145–S153.
2. Kang MS, et al. Percutaneous full-endoscopic versus biportal endoscopic posterior cervical foraminotomy for unilateral cervical foraminal disc disease. Clinics in Orthopedic Surgery. 2022;14(4):539–547.