Decompression for cervical disc herniation using the full-endoscopic anterior technique.

Abstract:

OBJECTIVE:Resection of a cervical disc herniation using a full-endoscopic technique with an anterior approach. INDICATION:Fresh disc herniation with monoradicular symptoms in the upper extremity. CONTRAINDICATIONS:Pure neck pain, cervical myelopathy, older and calcified disc herniations, higher grade of instability and deformity. SURGICAL TECHNIQUE:Introduction of a guidewire and dilatator to a cervical disc using an anterior approach. Under full-endoscopic view, preparation of the posterior parts of the annulus, opening of the annulus and posterior longitudinal ligament and resection of the herniated fragment from the epidural space. POSTOPERATIVE MANAGEMENT:Immediate mobilisation, isometric/coordinative exercises, functional exercises from week 3, building up strength from week 6. RESULTS:A total of 120 patients were operated using the full-endoscopic or microsurgically assisted technique and were followed up for 24 months. Significant improvement was achieved in both groups. The group of full-endoscopic operated patients returned to work significantly earlier and 89% of all patients would undergo the operation again.

journal_name

Oper Orthop Traumatol

authors

Oezdemir S,Komp M,Hahn P,Ruetten S

doi

10.1007/s00064-018-0531-2

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

1-10

issue

Suppl 1

eissn

0934-6694

issn

1439-0981

pii

10.1007/s00064-018-0531-2

journal_volume

31

pub_type

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