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Updated: Feb 15, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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[Decompression for cervical disc herniation using the full-endoscopic anterior technique - German version].

S Oezdemir1, M Komp2, P Hahn2

  • 1Zentrum für Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie der St. Elisabeth Gruppe - Katholische Kliniken Rhein-Ruhr, St. Anna Hospital Herne, Universitätsklinikum Marienhospital Herne, Marien Hospital Witten, Hospitalstraße 19, 44649, Herne, Deutschland. Semih.oezdemir@elisabethgruppe.de.

Operative Orthopadie Und Traumatologie
|January 11, 2018
PubMed
Summary

Full-endoscopic anterior cervical discectomy offers a minimally invasive option for treating cervical disc herniations. Patients experienced significant improvement and returned to work earlier compared to traditional methods.

Keywords:
Cervical disc herniationDisc prolapseEndoscopic surgical proceduresMicrosurgerySurgical decompression

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Area of Science:

  • Neurosurgery
  • Minimally Invasive Spine Surgery

Background:

  • Cervical disc herniation can cause significant monoradicular symptoms.
  • Traditional surgical approaches may involve longer recovery times.

Purpose of the Study:

  • To evaluate the efficacy of a full-endoscopic anterior approach for cervical disc herniation resection.
  • To compare outcomes with microsurgically assisted techniques.

Main Methods:

  • Anterior approach utilizing guidewire and dilatator for endoscopic access to the cervical disc.
  • Resection of herniated disc fragments from the epidural space under full-endoscopic visualization.
  • Postoperative management included progressive mobilization and strengthening exercises.

Main Results:

  • 120 patients underwent surgery, with a 24-month follow-up.
  • Both full-endoscopic and microsurgically assisted techniques showed significant improvement.
  • Patients treated with the full-endoscopic approach returned to work significantly earlier.

Conclusions:

  • Full-endoscopic anterior cervical discectomy is an effective treatment for cervical disc herniation.
  • This technique facilitates faster return to work and high patient satisfaction.
  • It represents a viable alternative to microsurgical procedures.