Decompression for cervical disc herniation utilizing the full-endoscopic anterior method.
Oper Orthop Traumatol. 2018 Feb 01;:
Authors: Oezdemir S, Komp M, Hahn P, Ruetten S
OBJECTIVE: Resection of a cervical disc herniation utilizing a full-endoscopic method with an anterior method.
INDICATION: Recent disc herniation with monoradicular signs within the higher extremity.
CONTRAINDICATIONS: Pure neck ache, cervical myelopathy, older and calcified disc herniations, greater grade of instability and deformity.
SURGICAL TECHNIQUE: Introduction of a guidewire and dilatator to a cervical disc utilizing an anterior method. Underneath full-endoscopic view, preparation of the posterior elements of the annulus, opening of the annulus and posterior longitudinal ligament and resection of the herniated fragment from the epidural house.
POSTOPERATIVE MANAGEMENT: Instant mobilisation, isometric/coordinative workouts, practical workouts 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. Important 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: 29392340 [PubMed – as supplied by publisher]