Endoscopic spine discectomy: indications and outcomes.

Abstract:

PURPOSE:Percutaneous endoscopic discectomy is an effective minimally invasive spine surgery (MISS) for soft disc herniations. The objective of this review was to describe the current indications, surgical techniques, and clinical outcomes of endoscopic spine surgery. METHODS:A narrative review was performed with a focus on surgical indication of percutaneous endoscopic discectomy and the clinical outcomes in lumbar and cervical spine. Percutaneous endoscopic or full-endoscopic discectomy using a working channel endoscope was described. RESULTS:The basic principles, surgical techniques, and clinical outcomes in lumbar and cervical disc herniations were demonstrated. For the lumbar disc herniation (LDH), transforaminal and interlaminar approaches were reviewed, whereas for the cervical disc herniation (CDH), anterior and posterior approaches were reviewed. CONCLUSIONS:Endoscopic spine surgery for soft disc herniation can be effective with benefits of minimal tissue trauma in properly selected cases. Given the recent technical advancements, the surgical indications for endoscopic spine surgery are still expanding and the clinical results have become more practical and reliable.

journal_name

Int Orthop

authors

Ahn Y

doi

10.1007/s00264-018-04283-w

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

909-916

issue

4

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-018-04283-w

journal_volume

43

pub_type

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