Cervical microsurgical discectomy assisted by endoscopy: presentation of two cases
Keywords:
Cervical disk herniation, Endoscopy, Microdiscectomy, Neurosurgery, RadiculopathyAbstract
INTRODUCTION: Microendoscopic discectomy has been accepted for treatment of lumbar disc herniation since its introduction in the 1990s, but this technique has not been widely used for cervical spine disorders.
CLINICAL CASES: The first case is a female, white, 36 years old with bilateral C6 radiculopathy due to medial disk herniation in C5–C6 space. The second case is a male patient, white, 45 years old, with diffuse arm pain due to medial disk herniation in C5–C6 space and another right lateral disk herniation in C6–C7 space. Both cases were treated by cervical disc herniation using microdiscectomy guided by endoscopy.
CONCLUSIONS: The procedure can be performed with great security and good outcome when the surgeon is specially trained and the patients are properly selected.Downloads
References
1. Chiu JC. Microdescompresión endoscópica cervical anterior del disco y foramen. In: Gagliardi C, Fernández Molina G, Cuello LM, eds. Técnicas actuales en neurocirugía endoscópica. Buenos Aires: Ediciones de la Guadalupe; 2007. p. 289–98.
2. Pflum FA, Selby RM, Vizzone JP. Arthroscopic anterior diskectomy of the cervical spine. Arthroscopy. 2008; 24(5):612–4.
3. Ruetten S, Komp M, Merk H, Godolias G. Full–endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9–mm endoscopes: a prospective, randomized, controlled study. Spine. 2008;33(9):940–8.
4. Chiu JC. Endoscopic assisted microdecompression of cervical disc and foramen. Surg Technol Int. 2008;17:269–79.
5. Jiangwei T, Yanping Z, Liangtai G, Xinyu L, Jianmin L, Wei D. Anterior cervical discectomy and interbody fusion by endoscopic approach: a preliminary report. J Neurosurg Spine. 2008;8:17–21.
6. Hussain NS, Perez–Cruet MJ. Complication management with minimally invasive spine procedures. Neurosurgical Focus. 2011; 31(4): E2.
7. Tan J, Zheng Y, Gong L, Liu X, Li J, Du W. Anterior cervical discectomy and interbody fusion by endoscopic approach: a preliminary report. J Neurosurg Spine. 2008;8(1):17–21.
8. Ruetten S, Komp M, Merk H, Godolias G. Full–endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations. Int Orthop. 2009;33(6):1677–82.
9. Liu KX, Massoud B. Endoscopic anterior cervical discectomy under epidurogram guidance. Surg Technol Int. 2010;20:373–8.
10. Yao N, Wang C, Wang W, Wang L. Full–endoscopic technique for anterior cervical discectomy and interbody fusion: 5–year follow–up results of 67 cases. Eur Spine J. 2011;20(6):899–904.
