A comparative analysis of the effectiveness and potential of endoscopic and microsurgical resection of disc herniations in the lumbosacral spine

Arestov, S. O.; Av, Vershinin; Ao, Gushcha

doi:10.17116/neiro20147869-14

Cited by 9 publications

(2 citation statements)

References 4 publications

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“…Modern neuroimaging methods enable determining the nature of the compression factor: ‘soft’ (herniation of the intervertebral disk) or ‘hard’ (osteophite or bone spike), which is decisive in the choice of surgical access. In the case of a ‘soft’ lateral or intraforaminal disk herniation and foraminal stenosis and lateral recess stenosis, full-endoscopic PCFD is evident, while osteophyte in this area can be more radically eliminated by a ventral approach 19 .…”

Section: Discussionmentioning

confidence: 99%

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The first experience with fully endoscopic posterior cervical foraminotomy and discectomy for radiculopathy performed in Viet Duc University Hospital

Dinh

2022

Sci Rep

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The aim of the article is to present the first experience of applying a full-endoscopic posterior cervical foraminotomy and discectomy performed at Viet Duc University Hospital in Hanoi and describe the outcomes of such surgical intervention. This surgical series includes 20 patients underwent surgery through full-endoscopic posterior cervical foraminotomy and discectomy. The definitive diagnosis of the patients and the evidence for surgical treatment was radiculopathy due to lateral or intraforaminal disk herniation, foraminal stenosis, and lateral recess stenosis. Patients with discogenic cervical radiculopathy but with a contraindication to endoscopic posterior cervical foraminotomy and discectomy were not subject to surgical intervention. All patients underwent a CT and MRT examination of the cervical spine before and after surgery as complementary diagnostic methods. Besides radiological diagnostic methods, electroneuromyography and spondylography were performed with functional samples, i.e., with head tilts in the front and back, to eliminate segmental instability. The timing and degree of the root pain syndrome regression were assessed using a VAS scale (visual and analog scale) with a subsequent comparison of preoperative and postoperative performance. Immediately after the operation, all patients noted a complete or nearly complete regression of the pain syndrome.

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Section: Discussionmentioning

confidence: 99%

“…To date, a full-endoscopic method is the least invasive in spine surgery. Such operations on the lumbar spine have been proven to be safe and are performed routinely 19 . At the same time, the use of endoscopic methods in operations on the cervical spine is not so frequent.…”

Section: Introductionmentioning

confidence: 99%

The first experience with fully endoscopic posterior cervical foraminotomy and discectomy for radiculopathy performed in Viet Duc University Hospital

Dinh

2022

Sci Rep

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Comparative analysis of treatment results in patients with disс herniation of different age groups

Klimov

Лопарев²,

Евсюков³

et al. 2020

Hir. pozvonoč.

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The first experience with a new technique of portal endoscopic discectomy for herniated cervical discs

2016

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Portal endoscopic discectomy is highly efficient in treatment of herniated cervical discs and enables achieving clinical outcomes associated with much less surgical trauma. The study demonstrates not only the efficacy of the suggested technique but also its safety compared to that of traditional anterior microsurgical techniques that usually involve interbody fusion. This surgery surpasses other interventions in the rate of rehabilitation and social adaptation of patients as well as reduces postoperative hospital stay.

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A comparative analysis of the effectiveness and potential of endoscopic and microsurgical resection of disc herniations in the lumbosacral spine

Cited by 9 publications

References 4 publications

The first experience with fully endoscopic posterior cervical foraminotomy and discectomy for radiculopathy performed in Viet Duc University Hospital

The first experience with fully endoscopic posterior cervical foraminotomy and discectomy for radiculopathy performed in Viet Duc University Hospital

Comparative analysis of treatment results in patients with disс herniation of different age groups

The first experience with a new technique of portal endoscopic discectomy for herniated cervical discs

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