Percutaneous Decompression Discectomy for Non-Extruded Cervical Herniated Nucleus Pulposus

Chiu, John C.; Hansraj, Kenneth K.; Akiyama, Cliff; Greenspan, Mark

doi:10.1097/00006123-199609000-00085

Cited by 6 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…the development of new technology and devices, the application of minimally invasive endoscopic surgery to treat CSR is gradually increasing, with better outcomes and fewer complications compared to ACDF (13)(14)(15). A decade ago, percutaneous endoscopic cervical diskectomy using a small-sized single portal was introduced, which was reported to not only minimize surgical trauma but also effectively relieve compression (16, 17).…”

Section: Discussionmentioning

confidence: 99%

Unilateral biportal endoscopic foraminotomy and diskectomy combined with piezosurgery for treating cervical spondylotic radiculopathy with neuropathic radicular pain

et al. 2023

View full text Add to dashboard Cite

ObjectiveUnilateral biportal endoscopy (UBE) represents a relatively recent development in minimally invasive spine surgery. This study aimed to evaluate the efficacy and safety of UBE foraminotomy and diskectomy combined with piezosurgery for treating cervical spondylotic radiculopathy (CSR) with neuropathic radicular pain.MethodsWe retrospectively analyzed the outcomes in 12 patients with CSR who underwent UBE foraminotomy and diskectomy combined with piezosurgery. The intraoperative blood loss, operative time, visual analog scale (VAS) scores for the neck and arm, neck disability index (NDI) scores, and complications were recorded.ResultsPostoperative VAS scores of the neck and arm and NDI scores were significantly improved. Additionally, a postoperative CT scan revealed adequate enlargement of the cervical canal and nerve root. No specific complications occurred during surgery and the immediate postoperative period.ConclusionsThis primary study indicated that the UBE foraminotomy and diskectomy with piezosurgery is a promising technique for treating cervical spondylotic radiculopathy with neuropathic radicular pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Unilateral biportal endoscopic foraminotomy and diskectomy combined with piezosurgery for treating cervical spondylotic radiculopathy with neuropathic radicular pain

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Many reports suggest better outcomes, surgical advantages, and lower complication rates of this approach compared with ACDF. [12–16]…”

Section: Discussionmentioning

confidence: 99%

Biportal endoscopic spine surgery for cervical disk herniation: A technical notes and preliminary report

Jung¹,

Kim

2022

Medicine

View full text Add to dashboard Cite

Biportal endoscopic spine surgery (BESS) for cervical disk herniation (CDH) has been rarely reported. The aim of the article is to describe a novel BESS as a posterior approach for CDH and report the preliminary outcomes and complications. This single-centered retrospective chart review included 109 consecutive patients who underwent BESS for symptomatic single-level CDH. Working and viewing portals were created in each unilateral paravertebral area at the target disk level. Endoscopic exploration allowed for effective and minimally invasive decompression via safe access to the medial foramen with minimal laminectomy and facetectomy. Clinical outcomes, including the visual analog scale, neck disability index, Macnab criteria, and the motor function of the involved arm, were evaluated at 4, 8, 12, and 24 postoperative weeks. Visual analog scale and neck disability index improved significantly at 24 weeks postoperatively (P < .01). According to the Macnab criteria, “excellent,” “good,” and “fair” results were obtained for 55.9%, 30.3%, and 13.8% of patients, respectively. The post 24-week distribution of the involved upper extremity strength grade was significantly improved compared to the initial value (P = .02). One patient had a motor weakness with a decreased grade over 4 weeks from excessive irrigation. The posterior approach of BESS was efficient and feasible for the treatment of CDH.

show abstract

“…In this chapter we will demonstrate how GPS aids and facilitates 1 minimally invasive spinal surgery [4][5][6][7][8][9][10][11][12] in effectively alleviating the symptoms [13][14][15][16][17][18][19][20][21][22] associated with degenerative disc disease and neurological compression with fewer risks and speedier recovery. [23][24][25][26][27][28][29][30][31][32][33] Surgical indications [7][8][9][10][11][12] a) Intractable low back pain with radiation down the leg (radicular pain). e) Non-radicular low back pain persisting despite facet joint injection.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive endoscopic transforaminal lumbar discectomy, a simplified technique guide

Maziad¹,

Chiu²

2019

MOJOR

View full text Add to dashboard Cite

Symptomatic degenerated spinal discs and spinal stenosis are common problems that can often be treated conservatively but some require decompressive spinal surgery for relief. Traditional open spinal discectomy is associated with significant tissue trauma, higher morbidity and complication rates, longer-term of convalescence, and even destabilization of the spine. The trend of spinal surgery is rapidly moving towards less traumatic minimally invasive spine surgery (MISS). 1,2

show abstract

Percutaneous Decompression Discectomy for Non-Extruded Cervical Herniated Nucleus Pulposus

Cited by 6 publications

References 0 publications

Unilateral biportal endoscopic foraminotomy and diskectomy combined with piezosurgery for treating cervical spondylotic radiculopathy with neuropathic radicular pain

Unilateral biportal endoscopic foraminotomy and diskectomy combined with piezosurgery for treating cervical spondylotic radiculopathy with neuropathic radicular pain

Biportal endoscopic spine surgery for cervical disk herniation: A technical notes and preliminary report

Minimally invasive endoscopic transforaminal lumbar discectomy, a simplified technique guide

Contact Info

Product

Resources

About