PagE ContENT:
The benefits of a full-endoscopic cervical discectomy
Animation of a full-endoscopic PCED: Posterior Cervical Endoscopic Discectomy
How is a cervical herniation removed endoscopically?
Literature: some scientific articles:
The benefits of a full-endoscopic cervical discectomy
All classic neck surgery causes a lot of collateral damage. An incision is made at the front of the throat for access to hernias in the neck. The esophagus, neck blood vessels and trachea are pushed aside. Known complications associated with this method of access are injuries to these noble structures. Through this open surgery you can't reach the hernia, which is at the back, without emptying the entire disc. This cavity is then forced to be filled artificially with a cage (cage - filled with bone or artificial bone) or with a metal-plastic prosthesis. When using a cage, the cervical vertebrae are fixed. Often an extra plate with screws is used for this. Neither of these procedures is, contrary to what is sometimes claimed, minimally invasive. Implants (often metal) are always placed to correct the surgical "damage" caused for access.
With a posterior full-endoscopic neck discectomy all these disadvantages are avoided.
Access to the neck is via the back, the place where the hernia is actually located. The entire procedure can be performed via a 5 mm tube. As a result, no collateral damage is caused to the surgical access and the neck remains completely untouched.
Artificial implants( = foreign body "plates, cages, prosthesis") can be avoided with endoscopy:
1. AVOIDING cervical fusion (fixation of cervical vertebrae):
2. AVOIDING disc prosthesis (artificial joint in the neck):
Animation of a full-endoscopic PCED: Posterior Cervical Endoscopic Discectomy
How is a cervical herniation removed endoscopically?
In a full-endoscopic cervical discectomy, there is only a 5 mm incision at the back of the neck. There is no collateral damage created by the surgery. All complications of surgery through the throat (front of the neck) such as swallowing problems, nerve or blood vessel lesions are avoided. The cervical vertebra preseve their normal mobility WITHOUT the need for an artificial implant linke a cervical prostheses or fixation. The short and long term complications and disadvantages of these metal implants are completely eliminated. Accelerated wear and tear of neighboring levels is prevented.
The herniation is removed while the natural mobility of the neck is preserved.
A mini window of 3 mm is made to create access to the herniated fragments
A 3 mm crescent shape opening is made in the posterior arch of the vertebra. This minimal opening is sufficient to remove the hernia with extremely thin instruments.
Literature: some scientific articles:
Komp, M., S. Oezdemir, P. Hahn, en S. Ruetten. ‘Full-Endoscopic Posterior Foraminotomy Surgery for Cervical Disc Herniations’. Operative Orthopädie Und Traumatologie 30, nr. 1 (februari 2018): 13–24. https://doi.org/10.1007/s00064-017-0529-1.
Liao, Conggang, Qiang Ren, Lei Chu, Lei Shi, Qingshuai Yu, Zhenjian Yan, Kexiao Yu, e.a. ‘Modified Posterior Percutaneous Endoscopic Cervical Discectomy for Lateral Cervical Disc Herniation: The Vertical Anchoring Technique’. European Spine Journal 27, nr. 6 (juni 2018): 1460–68. https://doi.org/10.1007/s00586-018-5527-y.
Oh, Hyeong Seok, Byeong-Wook Hwang, Sang-Joon Park, Chang-Sheng Hsieh, en Sang-Ho Lee. ‘Percutaneous Endoscopic Cervical Discectomy (PECD): An Analysis of Outcome, Causes of Reoperation’. World Neurosurgery 102 (juni 2017): 583–92. https://doi.org/10.1016/j.wneu.2017.03.056.
Ruetten, S., M. Komp, H. Merk, en G. Godolias. ‘A New Full-Endoscopic Technique for Cervical Posterior Foraminotomy in the Treatment of Lateral Disc Herniations Using 6.9-Mm Endoscopes: Prospective 2-Year Results of 87 Patients’. Min - Minimally Invasive Neurosurgery 50, nr. 4 (augustus 2007): 219–26. https://doi.org/10.1055/s-2007-985860.
Wen, Hongquan, Xin Wang, Wenbo Liao, Weijun Kong, Jianpu Qin, Xing Chen, Hai Lv, en Thor Friis. ‘Effective Range of Percutaneous Posterior Full-Endoscopic Paramedian Cervical Disc Herniation Discectomy and Indications for Patient Selection’. BioMed Research International 2017 (2017): 1–7. https://doi.org/10.1155/2017/3610385.
Wu, Pang Hung, Hyeun Sung Kim, Yeon Jin Lee, Dae Hwan Kim, Jun Hyung Lee, Kyung-Hoon Yang, Harshavardhan Dilip Raorane, en Il-Tae Jang. ‘Posterior Endoscopic Cervical Foramiotomy and Discectomy: Clinical and Radiological Computer Tomography Evaluation on the Bony Effect of Decompression with 2 Years Follow-Up’. European Spine Journal 30, nr. 2 (februari 2021): 534–46. https://doi.org/10.1007/s00586-020-06637-8.