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Endoscopic microsurgery in herniated cervical discs.

¹Department of Neurosurgery, Hospital Cittá di Parma, Italy.

Neurological Research

|February 27, 1999

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Endoscopic microsurgery offers a safe and effective alternative for herniated cervical discs, avoiding complications associated with traditional surgery. This minimally invasive technique demonstrated high success rates and no relapses in a large patient cohort.

Area of Science:

Neurosurgery
Minimally Invasive Procedures
Spinal Surgery

Background:

Traditional open surgery for herniated cervical discs carries risks of complications.
Endoscopic techniques offer potential advantages in terms of exposure and patient outcomes.

Purpose of the Study:

To present the results of endoscopic microsurgery for herniated cervical discs.
To evaluate the safety and efficacy of this minimally invasive approach compared to conventional methods.

Main Methods:

171 patients with 296 herniated cervical discs were treated using endoscopic microsurgery.
Procedures involved either an anterior paramedian approach or a posterior paramedian approach using a 4.6 mm working sleeve.
Herniated disc material was removed under endoscopic coaxial control with microsurgical instruments.

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Main Results:

No incidents or major complications were reported.
Success rates at 1 month, 3 months, 6 months, and 1 year were 94.7%, 95.9%, 96.4%, and 97%, respectively.
No cases of relapse were observed during the follow-up period.

Conclusions:

Endoscopic microsurgery is an advantageous and safe method for treating herniated cervical discs.
The technique minimizes complications associated with traditional surgical exposure.
Further studies with longer follow-up and more patients are recommended to confirm its utility.