Clinical Observation of Posterior Percutaneous Full-Endoscopic Cervical Foraminotomy as a Treatment for Osseous Foraminal Stenosis

Ye, Zhiyuan; Kong, Weijun; Xin, Zhijun; Fu, Qiang; Ao, Jun; Cao, Guangwen; Cai, Yuqiang; Liao, Wenbo

doi:10.1016/j.wneu.2017.07.085

Cited by 38 publications

(30 citation statements)

References 25 publications

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“…Oertel et al [5] included 43 patients that suffered from bony foraminal stenosis in up to 3 segments in their study. Postoperative Neck Disability Index was 18% compared to 3.33% in the group of Ye et al The group of Ye et al [12] however only included 9 patients suffering from bony foraminal stenosis in 1 segment only. Nevertheless, both studies could show good clinical patient outcomes ( Table 2).…”

Section: Resultsmentioning

confidence: 94%

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Endoscopic Posterior Cervical Foraminotomy in Bony Stenosis – A Review of the Literature

Hemmer¹,

Oertel²

2017

Int J Neurorehabilitation Eng

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Section: Resultsmentioning

confidence: 94%

“…Furthermore, recent studies could show good clinical results for endoscopic posterior cervical foraminotomy in patients suffering from bony foraminal stenosis [5,[12][13][14]. Thus, by the time, a randomized controlled study for the microscopic vs. endoscopic technique in patients suffering from bony stenosis is still lacking.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Posterior Cervical Foraminotomy in Bony Stenosis – A Review of the Literature

Hemmer¹,

Oertel²

2017

Int J Neurorehabilitation Eng

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“…In Youn's study, 2 patients had transient root injury because of root retraction. To decrease the chance of root injury, Ye et al [ 31 ] proposed that surgeons should avoid stretching the root too much during the operation to avoid damaging the nerve. It is necessary to use electrophysiological monitoring during operation.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous endoscopic cervical foraminotomy as a new treatment for cervical radiculopathy

2020

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Background: Anterior cervical discectomy and fusion (ACDF) is the gold standard treatment for this cervical radiculopathy. Posterior endoscopic cervical foraminotomy (PECF), an effective alternative to ACDF, is becoming widely used by an increasing number of surgeons. However, comparisons of the clinical outcomes of ACDF and PECF remain poorly explored. The purpose of this study was to evaluate and compare visual analog scale (VAS)-arm scores, VAS-neck scores, neck disability index (NDI) scores, reoperation, and complications in PECF and ACDF. Materials and Methods: We comprehensively searched electronic databases or platforms, including PubMed, Web of Science, EMBASE, and the Cochrane Controlled Trial Center, using the PRISMA guidelines. The required information, including VAS-arm scores, VAS-neck scores, NDI scores, reoperation, and complications, was extracted from qualified studies and independently tested and compared by 2 researchers. The methodological index for nonrandomized studies was used to evaluate study quality. Results: Nine studies consisting of 230 males and 256 females were included. The mean age of the included patients was 49.6 years, and the mean follow-up time was 20.6 months. The VAS-arm scores were significantly higher, and VAS-neck scores and NDI scores of PECF showed greater improvement trends for PECF than ACDF. The complication proportion of patients with PECF was lower, while the proportion of reoperation was similar between PECF and ACDF. ACDF was the most common revision surgery. The most common complication of PECF was transient paresthesia. Conclusion: Compared with ACDF, PECF is safe and effective in patients with unilateral cervical radiculopathy without myelopathy, and PECF does not increase the probability of reoperation and complications.

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“…According to the different position of the herniated disc, we utilized either an percutaneous anterior or posterior approach for the fullendoscopic resection of herniated intervertebral discs. The posterior percutaneous endoscopic technique can only be used for posterolateral or foraminal disc herniation based on spinal anatomy [8,9] . In terms of the surgical approach for central or paracentral cervical disc herniation, we performed an anterior percutaneous transcorporeal full-endoscopic nucleus pulpotomy of the cervical disc to maximally preserve the function of the cervical spine [10,11] .…”

Section: Introductionmentioning

confidence: 99%

Analysis of compliance and efficacy of integrated management of whole process in the choice of percutaneous full-endoscopic surgery for patients with cervical disc herniation

Kong

Jiang

Wang

et al. 2020

Preprint

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Background : Percutaneous spinal endoscopy technique is a new type of surgery for the treatment of cervical disc herniation. It can avoid the complications of classic ACDF approach and the risk of adjacent spondylosis. How to effectively improve patients' awareness of spinal endoscopy and choose to receive endoscopic techniques? Objective: To analyze the compliance and clinical effect of the integrated management of whole process in the choice of percutaneous full-endoscopic surgery for patients with cervical disc herniation. Methods: Retrospective analysis of 72 patients with cervical disc herniation undergoing surgery in our hospital in August 2015~ August 2017, all of them carried out the whole process integrated management mode, 36 patients in the experimental group were treated by percutaneous full-endoscopic cervical discectomy, and 36 patients in the control group were treated by anterior cervical discectomy and fusion(ACDF). The postoperative feeding time, time to get out of bed, length of hospital stay, compliance, clinical efficacy, and recurrence rate of neck pain were observed. And changes in pain visual analogue score (VAS) and neurological function JOA score of preoperative and postoperative. Results: The postoperative feeding time in the experimental group was 8.319 ± 1.374 hours, the postoperative bedtime was 16.64 ± 3.728 hours, and the hospitalization time was 6.403 ± 0.735 days; The clinical excellent and good rate was 91.67%, the compliance rate was 88.89%, and the neck pain recurrence rate was 5.56%. The postoperative feeding time in the control group was 26.56 ± 9.512 hours, the postoperative bedtime was 45.06 ± 9.027 hours, and the length of hospital stay was 8.208 ± 0.865 days; The excellent and good rate was 88.89%, the compliance rate was 69.4%, and the neck pain recurrence rate was 8.33%. There was no significant difference between the two groups in the excellent treatment rate and the recurrence rate of neck pain, p> 0.05; The compliance rate of the experimental group was better than the control group, and the difference was statistically significant, p <0.05; the hospitalization time of the experimental group was significantly lower than that of the control group, the difference was statistically significant, p<0.05. The postoperative VAS scores and JOA scores of the two groups were significantly improved compared with preoperative, the difference was statistically significant, p<0.05; and there was no significant difference between the two groups, p> 0.05. Conclusion : The integrated management mode of the whole course can effectively improve the compliance of patients with cervical disc herniation receiving endoscopic treatment, obtain the same treatment effect as the classic operation, shorten the hospitalization time, speed up the turnover of hospital beds, improve the satisfaction of medical quality, and be worthy of clinical application.

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Clinical Observation of Posterior Percutaneous Full-Endoscopic Cervical Foraminotomy as a Treatment for Osseous Foraminal Stenosis

Cited by 38 publications

References 25 publications

Endoscopic Posterior Cervical Foraminotomy in Bony Stenosis – A Review of the Literature

Endoscopic Posterior Cervical Foraminotomy in Bony Stenosis – A Review of the Literature

Percutaneous endoscopic cervical foraminotomy as a new treatment for cervical radiculopathy

Analysis of compliance and efficacy of integrated management of whole process in the choice of percutaneous full-endoscopic surgery for patients with cervical disc herniation

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