Effective Range of Percutaneous Posterior Full-Endoscopic Paramedian Cervical Disc Herniation Discectomy and Indications for Patient Selection

Abstract

The objective was to investigate the effective and safe range of paramedian CDH by percutaneous posterior full-endoscopy cervical intervertebral disc nucleus pulposus resection (PPFECD) to provide a reference for indications and patient selection. Sixteen patients with CDH satisfied the inclusion criteria. Before surgery the patients underwent cervical spine MRI, and the distance between the dural sac and herniated disc was measured. An assessment was performed by MRI immediately after surgery, measuring the distance between dural sac and medial border of discectomy (DSMD). The preoperative average distance between the dural sac and peak of the herniated disc (DSPHD) was 3.87 ± 1.32 mm; preoperative average distance between dural sac and medial border of herniated disc (DSMHD) was 6.91 ± 1.21 mm and an average distance of postoperative DSMD was 5.41 ± 1.40 mm. Postoperative VAS of neck and shoulder pain was significantly decreased but JOA was significantly increased in each time point compared with preoperative ones. In summary, the effective range of PPFECD to treat paramedian CDH was 5.41 ± 1.40 mm, indicating that DSMHD and DSPHD were within 6.91 ± 1.21 mm and 3.87 ± 1.32 mm, respectively. PPFECD surgery is, therefore, a safe and effective treatment option for patients with partial paramedian cervical disc herniation.

Design of a robot-assisted system for transforaminal percutaneous endoscopic lumbar surgeries: study protocol

“…In recent years, with the development of endoscopic surgical equipment and technology, minimally invasive spinal surgeries can be performed with various endoscopic techniques for the lumbar, cervical, and thoracic regions [22][23][24]. There has been a growing body of literature that not only con rms the e cacy of the endoscopic technique but also underscores the advantages with respect to less morbidity and safer complications [3,4,[25][26][27][28][29]. Percutaneous endoscopic spinal surgeries for lumbar, cervical, and thoracic regions categorized according to the surgical approaches are as follows: transforaminal lumbar, interlaminar lumbar, anterior cervical, posterior cervical, posterior thoracic, and posterolateral thoracic [21,30].…”

Design of a robot-assisted system for transforaminal percutaneous endoscopic lumbar surgeries: study protocol

“…In recent years, with the development of endoscopic surgical equipment and technology, minimally invasive spinal surgeries can be performed with various endoscopic techniques for the lumbar, cervical, and thoracic regions [23][24][25]. There has been a growing body of literature that not only con rms the e cacy of the endoscopic technique but also underscores the advantages with respect to less morbidity and safer complications [3,4,[26][27][28][29][30]. Percutaneous endoscopic spinal surgeries for lumbar, cervical, and thoracic regions categorized according to the surgical approaches are as follows: transforaminal lumbar, interlaminar lumbar, anterior cervical, posterior cervical, posterior thoracic, and posterolateral thoracic [23,31].…”

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

“…According to the position of the herniated disc, we utilized either a percutaneous anterior or posterior approach for the full-endoscopic resection of herniated intervertebral discs. The posterior percutaneous endoscopic technique can be used only for posterolateral or foraminal disc herniation based on spinal anatomy [8,9] . In terms of the surgical approach for central or paracentral CDH, 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] .…”