[Decompression for cervical disc herniation using the full-endoscopic anterior technique – German version].
Oper Orthop Traumatol. 2018 Jan 09;:
Authors: Oezdemir S, Komp M, Hahn P, Ruetten S
OBJECTIVE: Resection of a cervical disc herniation utilizing a full-endoscopic method with an anterior strategy.
INDICATION: Contemporary disc herniation with monoradicular signs within the higher extremity.
CONTRAINDICATIONS: Pure neck ache, cervical myelopathy, older and calcified disc herniations, larger grade of instability and deformity.
SURGICAL TECHNIQUE: Introduction of a guidewire and dilatator to a cervical disc utilizing an anterior strategy. Beneath full-endoscopic view, preparation of the posterior components of the annulus, opening of the annulus and posterior longitudinal ligament and resection of the herniated fragment from the epidural house.
POSTOPERATIVE MANAGEMENT: Rapid mobilisation, isometric/coordinative workout routines, useful workout routines from week three, increase energy from week 6.
RESULTS: A complete of 120 sufferers had been operated utilizing the full-endoscopic or microsurgically assisted method and had been adopted up for 24 months. Vital enchancment was achieved in each teams. The group of full-endoscopic operated sufferers returned to work considerably earlier and 89% of all sufferers would endure the operation once more.
PMID: 29318336 [PubMed – as supplied by publisher]