M Komp1, S Oezdemir2, P Hahn2, S Ruetten2. 1. Center for Spine Surgery and Pain Therapy, Center for Orthopaedics and Traumatology of the St. Elisabeth Group-Catholic Hospitals Rhein-Ruhr, St. Anna Hospital Herne/Marien Hospital Herne/University Hospital/Marien Hospital Witten, Herne, Germany. Martin.Komp@elisabethgruppe.de. 2. Center for Spine Surgery and Pain Therapy, Center for Orthopaedics and Traumatology of the St. Elisabeth Group-Catholic Hospitals Rhein-Ruhr, St. Anna Hospital Herne/Marien Hospital Herne/University Hospital/Marien Hospital Witten, Herne, Germany.
Abstract
OBJECTIVE: Surgery for cervical disc herniation with full-endoscopic posterior access. INDICATIONS: Cervical disc herniation and neuroforaminal pathology with radicular symptoms. CONTRAINDICATIONS: Neck pain alone, cervical myelopathy or pathologies with central nervous system symptoms, instabilities requiring correction/instabilities. SURGICAL TECHNIQUE: Introduction of a surgical tube to the facet joint at the level to be operated on. Resection of bony and ligamentous parts of the cervical spinal canal under endoscopic guidance. Visualisation of the disc herniation and decompression of the neural structures. POSTOPERATIVE MANAGEMENT: Immediate mobilisation, specific rehabilitative physiotherapy depending on pre-existing neurological deficits. RESULTS: A total of 87 patients underwent full-endoscopic posterior surgery and were followed over a period of 2 years. Significant improvement was observed. No serious complications occurred. In all, 5 patients underwent revision in the follow-up period. Of the patients, 93% would undergo the procedure again.
OBJECTIVE: Surgery for cervical disc herniation with full-endoscopic posterior access. INDICATIONS: Cervical disc herniation and neuroforaminal pathology with radicular symptoms. CONTRAINDICATIONS: Neck pain alone, cervical myelopathy or pathologies with central nervous system symptoms, instabilities requiring correction/instabilities. SURGICAL TECHNIQUE: Introduction of a surgical tube to the facet joint at the level to be operated on. Resection of bony and ligamentous parts of the cervical spinal canal under endoscopic guidance. Visualisation of the disc herniation and decompression of the neural structures. POSTOPERATIVE MANAGEMENT: Immediate mobilisation, specific rehabilitative physiotherapy depending on pre-existing neurological deficits. RESULTS: A total of 87 patients underwent full-endoscopic posterior surgery and were followed over a period of 2 years. Significant improvement was observed. No serious complications occurred. In all, 5 patients underwent revision in the follow-up period. Of the patients, 93% would undergo the procedure again.
Authors: A Nabhan; F Ahlhelm; T Pitzen; W I Steudel; J Jung; K Shariat; O Steimer; F Bachelier; D Pape Journal: Eur Spine J Date: 2006-11-14 Impact factor: 3.134
Authors: J C Cauthen; R E Kinard; J B Vogler; D E Jackson; O B DePaz; O L Hunter; L B Wasserburger; V M Williams Journal: Spine (Phila Pa 1976) Date: 1998-01-15 Impact factor: 3.468
Authors: Marjorie C Wang; Leighton Chan; Dennis J Maiman; William Kreuter; Richard A Deyo Journal: Spine (Phila Pa 1976) Date: 2007-02-01 Impact factor: 3.468