[Percutaneous laser diskectomy in cervical osteochondrosis]

Area of Science:

• Neurosurgery
• Minimally Invasive Spine Surgery

Background:

• Discogenic compressed syndromes of the neck can cause significant radicular and myelopathic symptoms.
• Traditional surgical interventions may involve longer recovery periods and higher risks.

Purpose of the Study:

• To evaluate the early and late outcomes of paracentesis laser diskectomy for neck discogenic compressed syndromes.
• To assess the efficacy of this minimally invasive approach in treating radicular and myelopathic symptoms.

Main Methods:

• A cohort of 62 patients with neck discogenic compressed syndromes underwent paracentesis laser diskectomy.
• Patient selection was based on comprehensive clinical, neurological, and imaging assessments (spondylography, MRI, electric neuromyography).
• The procedure involved local anesthesia, anterolateral access, X-ray guidance, and single-stage removal of herniated discs, with a mean operative time of 18 minutes and a mean hospital stay of 12 hours.

Main Results:

• The surgery demonstrated high efficiency, with a 92.9% success rate for radicular syndromes and 92.8% for myelopathic syndromes.
• The procedure was minimally invasive, with a short operative duration and hospital stay.
• Outpatient interventions were feasible in 16 of 62 cases.

Conclusions:

• Paracentesis laser diskectomy is an effective treatment for discogenic compressed syndromes of the neck, yielding excellent outcomes for both radicular and myelopathic symptoms.
• The minimally invasive nature of the procedure allows for rapid recovery and potential for outpatient treatment.
• This technique represents a viable and efficient surgical option for managing cervical disc herniations.