Indications for the CESSYS® Ventral procedure
The CESSYS® Ventral technique is indicated for the minimally invasive treatment of cervical disc herniations. This procedure is contraindicated in patients with associated cervical instability and central stenosis.
The endoscopic CESSYS® Ventral procedure uses a ventral, ipsi- or contralateral approach through the disc space, directly to the site of herniation. Under endoscopic visualization, the compressive disc material can be removed. The small diameter cannulas allow an atraumatic access and the removal of herniated disc material with specialized forceps. Additionally, a radiofrequency probe for tissue ablation and hemostasis is available.
- Soft, lateral and medio-lateral herniated discs
- Ventral, foraminal osteophytes and stenosis
Lateral herniation – axial MRI
Lateral herniation – sagittal MRI
Endoscopic view of the free nerve root
CESSYS® Ventral – Workflow
1. Patient positioning and cranial fixation.
2. Insertion of the needle into the disc.
3. Needle positioning under fluoroscopic control.
4. Soft tissue dilation with the guiding rod over the wire.
5. Guiding rod in place.
6. Introduction of the working cannula.
7. Removal of herniated material with forceps through the CESSYS® Cervical Hybrid Scope.
OR picture of removal of herniated material