Percutaneous endoscopic cervical discectomy: 16 years of experience and literature review

Author:

Choi Gun1,Lee Sang Ho1,Carvalho Max Franco de1,Prada Nicolas1

Affiliation:

1. Wooridul Spine Hospital, South Korea

Abstract

The advancement of the percutaneous endoscopic lumbar discectomy (PECD) and its clinical success have led to similar minimally invasive approaches to the cervical spine. The goal of PECD is the decompression of the cervical nerve root through a direct endoscopic visualization, removing the herniated mass and shrinking the nucleous pulposus with the use of microforceps and holmium: yttrium-aluminum-garnet (Ho:YAG) laser. The senior author have performed PECD with cervical laser assisted endoscopy since 1993. The PECD is indicate to patients with constrained or unconstrained soft herniated cervical disc, positive provocative test, and no bony spur larger than 2 mm, regardless of the herniation size. The authors described the surgical technique of PECD and report their 16 years of experience in the endoscopic treatment of the herniated cervical disc.

Publisher

FapUNIFESP (SciELO)

Subject

Clinical Neurology,Orthopedics and Sports Medicine,Surgery

Reference15 articles.

1. The textbook of spine;Choi G,2008

2. Factors predicting excellent outcome of percutaneous cervical discectomy: analysis of 111 consecutive cases;Ahn Y;Neuroradiology,2004

3. Minimally invasive spinal surgery: a historical perspective;Thongtrangan I;Neurosurg Focus,2004

4. Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiskoplasty;Chiu JC;Mt Sinai J Med,2000

5. Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations;Ruetten S;Int Orthop,2008

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