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Updated: Apr 23, 2026
01:24
Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
Published on: September 8, 2023
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Endoscopic anterior decompression in cervical disc disease
Yad Ram Yadav1, Vijay Parihar, Shailendra Ratre
1Department of Neurosurgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India.
Neurology India
|September 20, 2014
Summary
Endoscopic microforaminotomy offers a safe and effective alternative for cervical disc disease, showing significant improvement in pain and function. This minimally invasive approach avoids complications associated with traditional discectomy procedures.
Area of Science:
- Neurosurgery
- Spine Surgery
- Minimally Invasive Procedures
Background:
- Microscopic anterior cervical discectomy has limitations including disc height loss and adjacent degeneration.
- Cervical disc diseases require effective treatment options to mitigate surgical complications.
Purpose of the Study:
- To evaluate the outcomes of endoscopic microforaminotomy for cervical disc diseases.
- To compare endoscopic microforaminotomy with traditional microscopic anterior discectomy.
Main Methods:
- Prospective study of 50 patients with mono-segmental cervical disc disease causing myeloradiculopathy.
- Assessed pain using Visual Analogue Scale (VAS) and functional outcomes with Nurick grading system.
- Excluded patients with multi-level disease, instabilities, or prior surgery on the same segment.
Main Results:
- Significant improvement in average VAS arm pain from 7.6 to 1.9 and Nurick grade from 2.7 to 0.82.
- All 50 patients demonstrated improvement, with 37 patients achieving 1-2 grade improvement in Nurick scale.
- Minimal postoperative disc height reduction (1.1 mm), average operating time of 110 minutes, and 30 ml blood loss with no mortality or major complications.
Conclusions:
- Endoscopic microforaminotomy is a safe and effective treatment for cervical disc disease.
- It presents a viable alternative to microscopic anterior discectomy with or without fusion.
- Further long-term studies with larger patient cohorts are warranted.
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