Chen Zhipeng, Ye Jichao, Hu Xumin, Liu Xiang, Gao Liangbin, Tang Yong
Sun Yat-sen Memorial Hospital, Guangzhou, China.
Eur Spine J. 2025 Sep 18. doi: 10.1007/s00586-025-09371-1.
Traditional odontoidectomy is highly invasive and often associated with significant complications. In contrast, transoral navigated endoscopic surgery (NES) is a minimally invasive technique that offers an alternative approach for odontoidectomy and decompression of the medulla oblongata. This study presents two cases of odontoid process disorders treated using transoral navigated full-endoscopic uniportal odontoidectomy.
The first case involved a 66-year-old female patient presenting with neck pain and bilateral upper limb discomfort. The second case was a 13-year-old male patient with cervical spine deformity and incomplete paralysis. Both patients underwent transoral navigated full-endoscopic uniportal odontoidectomy. Preoperative and postoperative clinical data, as well as imaging studies, were collected for analysis.
Both patients were extubated promptly after surgery, once they awoke from general anesthesia. No severe perioperative complications occurred. Both patients experienced immediate improvement in symptoms and neurological function postoperatively. Postoperative CT and MRI scans confirmed that the extent of odontoid process resection aligned with preoperative expectations.
The transoral navigated full-endoscopic uniportal odontoidectomy technique provides an effective option for simple odontoid resection. This approach reduces the risk of approach-related complications and promotes accelerated postoperative recovery.
传统齿状突切除术具有高度侵袭性，且常伴有严重并发症。相比之下，经口导航内镜手术（NES）是一种微创手术技术，为齿状突切除术和延髓减压提供了另一种方法。本研究介绍了两例使用经口导航全内镜单通道齿状突切除术治疗的齿状突疾病病例。
第一例为一名66岁女性患者，表现为颈部疼痛和双侧上肢不适。第二例是一名13岁男性患者，患有颈椎畸形和不完全瘫痪。两名患者均接受了经口导航全内镜单通道齿状突切除术。收集术前和术后临床数据以及影像学研究进行分析。
两名患者在全身麻醉苏醒后均立即拔管。围手术期未发生严重并发症。两名患者术后症状和神经功能均立即改善。术后CT和MRI扫描证实齿状突切除范围与术前预期一致。
经口导航全内镜单通道齿状突切除术技术为简单的齿状突切除提供了一种有效的选择。这种方法降低了与手术入路相关的并发症风险，并促进了术后的快速恢复。
