A Novel Hybrid Endoscopic Approach for Anterior Cervical Discectomy and Fusion and a Meta-Analysis of the Literature

Tacconi, Leonello; Giordan, Enrico

doi:10.1016/j.wneu.2019.07.122

Cited by 9 publications

(5 citation statements)

References 26 publications

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“…Thus, we did not include these in our analysis. 47 In our meta-analysis, the revision rate was 4.2% (2.6-6.8%, P ¼ 0.00), with a similar rate for the anterior vs. posterior approach (4.2% [1.8-9.7%], P ¼ 0.000 vs. 4.00% [2.2-7.4%], P ¼ 0.000).…”

Section: Anterior Endoscopic Cervical Discectomymentioning

confidence: 51%

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Outcome of Anterior and Posterior Endoscopic Procedures for Cervical Radiculopathy Due to Degenerative Disk Disease: A Systematic Review and Meta-Analysis

Alomar

Maghrabi

Baeesa

et al. 2021

Global Spine Journal

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Study design: Systematic review and meta-analysis. Objectives: Cervical spine endoscopic discectomy and decompression have gained popularity in the last decade. This review aimed to shed light on the current outcomes of cervical spine endoscopic procedures for degenerative disc disease (DDD) and to calculate a pooled estimate of various outcome measures. Methods: We retrieved articles published in English related to endoscopic cervical spine procedures from 3 central databases from inception until September 2020. A subgroup analysis based on the anterior versus the posterior approach was performed. Results: Thirty-one articles fulfilled the eligibility criteria and included 1,410 patients. A successful outcome was observed in 91.3% (88.6-93.4%, P = 0.000). This percentage was lower for the anterior approach (89.6% [85.8-92.5%], P = 0.000) than for the posterior approach (94.2% [90.4-96.5%], P = 0.000). A higher percentage of poor outcomes was reported for the anterior approach (5.7% [3.2-10.1%], P = 0.000 vs. 2.3% [1-5.5%], P = 0.000 for the posterior approach). The overall complication rate was 7.2% (5.2-9.8%, P = 0.000). There was a slightly higher complication rate for the anterior approach (7.9% [4.5-13.3%], P = 0.000) than for the posterior approach (6.7% [4.4-10%], P = 0.000). The revision rate was 4.2% (2.6-6.8%, P = 0.000); and 4.2% (1.8-9.7%, P = 0.000) for the anterior approach and 4.00% (2.2-7.4%, P = 0.000) for the posterior approach. Conclusions: There is a higher success rate and lower complication rate with the posterior approach than with the anterior approach. However, high-quality randomized controlled trials are vital to evaluate the efficacy of these procedures.

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Section: Anterior Endoscopic Cervical Discectomymentioning

confidence: 51%

“…Access was achieved microscopically to avoid access complications such as vascular injuries. 47 The success rate was 88%, the recurrence rate was 3%, and the revision rate was 5%. Access-related complications were <0.3%.…”

Section: Discussionmentioning

confidence: 88%

Outcome of Anterior and Posterior Endoscopic Procedures for Cervical Radiculopathy Due to Degenerative Disk Disease: A Systematic Review and Meta-Analysis

Alomar

Maghrabi

Baeesa

et al. 2021

Global Spine Journal

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“…[32][33][34][35][36][37] Second, AECD with the interbody fusion technique combines endoscopic discectomy and immediate instrumented fusion. [38][39][40]…”

Section: Technical Modificationmentioning

confidence: 99%

Anterior Endoscopic Cervical Discectomy: Surgical Technique and Literature Review

Ahn

2023

Neurospine

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The conventional surgical technique for radiculopathy with cervical disc herniation (CDH) is anterior cervical discectomy and fusion, with a good clinical outcome and fusion rate. However, significant perioperative morbidity related to extensive surgical exposure has been reported. Therefore, anterior endoscopic cervical discectomy (AECD) using a working channel endoscope has been developed to reduce surgical complications and tissue damage. The objective of this study was to describe a cutting-edge technique for AECD of soft CDH. The primary indication is cervical radiculopathy with or without axial neck pain due to soft CDH. The surgical procedure consists of 2 parts: (1) a safe anterior percutaneous approach under fluoroscopic control and (2) selective endoscopic discectomy and foraminal decompression using specialized mechanical tools under endoscopic visualization. The clinical outcomes are comparable to those of conventional surgery and show the benefits of minimally invasive spine procedure. Perioperative data revealed typical minimalism, including reduced muscle damage, blood loss, operative time, and recovery time. With technical advancements in surgical instruments and optics, AECD will become more practical and safer. AECD is effective in selected CDH cases with cervical radiculopathy. However, high-quality clinical studies are needed to verify the effectiveness of this endoscopic cervical spinal procedure.

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“…ESS is a suitable option for LSS cases caused by scoliosis [83]. Several authors [146][147][148][149][150] have already shown that this technique provides equivalent results to microsurgical or tubular techniques, but with advantages such as less tissue damage and shorter hospital stays [70,147,[151][152][153]. With regards to scoliosis, Hasan et al (2019) studied 45 patients with concomitant scoliosis and/or spondylolisthesis, 26 of whom underwent ESS and 19 underwent minimally invasive surgery.…”

Section: What Changed In the Ess Context?mentioning

confidence: 99%

Development of Indications for Endoscopic Spine Surgery: An Overview

Wirth,

Bergamaschi,

Forti

et al. 2023

IJTM

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Endoscopic spine surgery (ESS) began more than 20 years ago as percutaneous endoscopic discectomy and has evolved to the present day. This technique offers many advantages, including a short hospital stay, minimal trauma and blood loss, the option of local or epidural anesthesia with sedation, a low rate of nosocomial infections, early recovery, and a quick return to work and daily activities. The success rate of this technique ranges from 83% to 90% in operated patients. This article aims to provide an overview of indications, versatility of the technique, advantages, contraindications and limitations, and also a reflection on the possible contraindications and limitations of the technique.

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A Novel Hybrid Endoscopic Approach for Anterior Cervical Discectomy and Fusion and a Meta-Analysis of the Literature

Cited by 9 publications

References 26 publications

Outcome of Anterior and Posterior Endoscopic Procedures for Cervical Radiculopathy Due to Degenerative Disk Disease: A Systematic Review and Meta-Analysis

Outcome of Anterior and Posterior Endoscopic Procedures for Cervical Radiculopathy Due to Degenerative Disk Disease: A Systematic Review and Meta-Analysis

Anterior Endoscopic Cervical Discectomy: Surgical Technique and Literature Review

Development of Indications for Endoscopic Spine Surgery: An Overview

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