Anterior Percutaneous Endoscopic Cervical Discectomy for Cervical Intervertebral Disc Herniation

Tzaan, Wen-Ching

doi:10.1097/bsd.0b013e31820ef328

Cited by 68 publications

(54 citation statements)

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“…Finally, Schubert and Merk presented one case of hoarseness in 95 patients. 19 Regarding other techniques of cervical pain treatment, which use the anterior percutaneous approach instead, we must emphasize the major complications reported by Tzaan,17 who showed lesion of the carotid artery in one out of 107 (1%) patients submitted to endoscopic discectomy.…”

Section: Discussionmentioning

confidence: 99%

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Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

León¹,

Ortíz²,

Martínez³

et al. 2017

Coluna/Columna

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Objective: To report the outcomes of non-endoscopic percutaneous cervical discectomy by anterior blunt approach for the treatment of degenerative disc disease. Methods: A review of the medical records of patients with axial cervical pain resulting from degenerative disc disease and treated with discectomy and percutaneous nucleoplasty by anterior blunt approach with radiofrequency source was carried out. The data were evaluated according to modified MacNab and pre-and postoperative VAS criteria at 3, 12 and 24 months. Results: Sixty-two procedures were performed in 48 patients between 2008 and 2014. The mean age of the population was 52.4 years. MacNab results were 84.6%, 92.3%, and 89.2% improvement (excellent and good results) at 3, 12 and 24 months, respectively. The VAS changed from 7.4 to 2.3 two years after the procedure, showing a statistically significant difference (p=0.000). There were no major complications or re-interventions related to the technique. Conclusions: Anterior non-endoscopic discectomy and nucleoplasty for the treatment of discogenic axial cervical pain may be an effective alternative to open surgery. In the two-year follow-up, our blunt technique proved to be a safe procedure with no approach-related complications, and provided outcomes comparable to those reported using the original needle technique.Keywords: Spine; Intervertebral disc degeneration; Neck pain; Diskectomy, percutaneous; Minimally invasive surgical procedures. RESUMO

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Section: Discussionmentioning

confidence: 99%

“…Significant postoperative clinical improvement is based on an excellent and good outcome on the MacNab criteria. 17 The collection of medical charts and other data were carried out by company independent from the researchers.…”

Section: Methodsmentioning

confidence: 99%

Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

León¹,

Ortíz²,

Martínez³

et al. 2017

Coluna/Columna

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“…Nevertheless, PECD carries the risk of major complications as well. There are only few studies on safety measures and complications associated with PECD [15,17].…”

Section: Discussionmentioning

confidence: 99%

A New Progression Towards a Safer Anterior Percutaneous Endoscopic Cervical Discectomy: A Technical Report

Choi¹,

Uniyal²

2016

J Spine

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Percutaneous Endoscopic Cervical Discectomy (PECD) has evolved as an efficient and minimally invasive procedure for both contained and non-contained cervical disc herniations in the recent years. With the advent of new working channel endoscopes and instruments design, the PECD is gaining popularity among spine surgeons and is becoming an alternative to the fusion surgery. The insertion of the working channel is the key to PECD which has to be placed very meticulously without injuring the vital structure in the neck anteriorly. We wish to present a technical report and brief discussion about the new instruments design and procedure that will enhance the safety measures in PECD.

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“…[4–6] Anterior endoscopic cervical discectomy has been previously described as safe[13151618] but with significant inconsistency regarding operative indication, technique and outcomes. [18101417] Deuk Laser Disc Repair incorporates a selective partial discectomy of displaced nuclear fragments, both interposed within the annular tear and fully herniated, while preserving the structure and functional integrity of the remaining spinal disc. Foraminoplasty allows nerve root decompression while annular debridement promotes natural healing of the disc annulus by removing abnormal tissue with the laser.…”

Section: Introductionmentioning

confidence: 99%

Cervical Deuk Laser Disc Repair^®: A novel, full-endoscopic surgical technique for the treatment of symptomatic cervical disc disease

Deukmedjian¹,

Cianciabella²,

Cutright³

et al. 2012

Surg Neurol Int

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Background:Cervical Deuk Laser Disc Repair® is a novel full-endoscopic, anterior cervical, trans-discal, motion preserving, laser assisted, nonfusion, outpatient surgical procedure to safely treat symptomatic cervical disc diseases including herniation, spondylosis, stenosis, and annular tears. Here we describe a new endoscopic approach to cervical disc disease that allows direct visualization of the posterior longitudinal ligament, posterior vertebral endplates, annulus, neuroforamina, and herniated disc fragments. All patients treated with Deuk Laser Disc Repair were also candidates for anterior cervical discectomy and fusion (ACDF).Methods:A total of 142 consecutive adult patients with symptomatic cervical disc disease underwent Deuk Laser Disc Repair during a 4-year period. This novel procedure incorporates a full-endoscopic selective partial decompressive discectomy, foraminoplasty, and posterior annular debridement. Postoperative complications and average volume of herniated disc fragments removed are reported.Results:All patients were successfully treated with cervical Deuk Laser Disc Repair. There were no postoperative complications. Average volume of herniated disc material removed was 0.09 ml.Conclusions:Potential benefits of Deuk Laser Disc Repair for symptomatic cervical disc disease include lower cost, smaller incision, nonfusion, preservation of segmental motion, outpatient, faster recovery, less postoperative analgesic use, fewer complications, no hardware failure, no pseudoarthrosis, no postoperative dysphagia, and no increased risk of adjacent segment disease as seen with fusion.

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Anterior Percutaneous Endoscopic Cervical Discectomy for Cervical Intervertebral Disc Herniation

Cited by 68 publications

References 0 publications

Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

A New Progression Towards a Safer Anterior Percutaneous Endoscopic Cervical Discectomy: A Technical Report

Cervical Deuk Laser Disc Repair^®: A novel, full-endoscopic surgical technique for the treatment of symptomatic cervical disc disease

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Anterior Percutaneous Endoscopic Cervical Discectomy for Cervical Intervertebral Disc Herniation

Cited by 68 publications

References 0 publications

Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

Anterior Percutaneous Cervical Discectomy. Two-Year Follow-Up of a Blunt Technique Procedure

A New Progression Towards a Safer Anterior Percutaneous Endoscopic Cervical Discectomy: A Technical Report

Cervical Deuk Laser Disc Repair®: A novel, full-endoscopic surgical technique for the treatment of symptomatic cervical disc disease

Contact Info

Product

Resources

About

Cervical Deuk Laser Disc Repair^®: A novel, full-endoscopic surgical technique for the treatment of symptomatic cervical disc disease