Decompression for cervical disc herniation using the full-endoscopic anterior technique - German version

Resection of a cervical disc herniation using a full-endoscopic technique with an anterior approach. Fresh disc herniation with monoradicular symptoms in the upper extremity. Pure neck pain, cervical myelopathy, older and calcified disc herniations, higher grade of instability and deformity. Introdu...

Full description

Saved in:
Bibliographic Details
Published in:Operative Orthopädie und Traumatologie 2018-02, Vol.30 (1), p.25-35
Main Authors: Oezdemir, S, Komp, M, Hahn, P, Ruetten, S
Format: Article
Language:ger
Subjects:
Cervical Vertebrae
Decompression, Surgical - methods
Endoscopy
Humans
Intervertebral Disc Displacement - surgery
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Resection of a cervical disc herniation using a full-endoscopic technique with an anterior approach. Fresh disc herniation with monoradicular symptoms in the upper extremity. Pure neck pain, cervical myelopathy, older and calcified disc herniations, higher grade of instability and deformity. Introduction of a guidewire and dilatator to a cervical disc using an anterior approach. Under full-endoscopic view, preparation of the posterior parts of the annulus, opening of the annulus and posterior longitudinal ligament and resection of the herniated fragment from the epidural space. Immediate mobilisation, isometric/coordinative exercises, functional exercises from week 3, building up strength from week 6. A total of 120 patients were operated using the full-endoscopic or microsurgically assisted technique and were followed up for 24 months. Significant improvement was achieved in both groups. The group of full-endoscopic operated patients returned to work significantly earlier and 89% of all patients would undergo the operation again.
ISSN:1439-0981
DOI:10.1007/s00064-017-0528-2