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Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Updated: Feb 15, 2026

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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Full-endoscopic posterior foraminotomy surgery for cervical disc herniations.

M Komp1, S Oezdemir2, P Hahn2

  • 1Center for Spine Surgery and Pain Therapy, Center for Orthopaedics and Traumatology of the St. Elisabeth Group-Catholic Hospitals Rhein-Ruhr, St. Anna Hospital Herne/Marien Hospital Herne/University Hospital/Marien Hospital Witten, Herne, Germany. Martin.Komp@elisabethgruppe.de.

Operative Orthopadie Und Traumatologie
|January 11, 2018
PubMed
Summary

Full-endoscopic posterior surgery effectively treats cervical disc herniation, offering significant symptom improvement with minimal complications. Most patients would opt for this minimally invasive procedure again due to its positive outcomes.

Keywords:
Cervical disc herniationEndoscopic surgical techniquesForaminal stenosisMicrosurgery

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Area of Science:

  • Neurosurgery
  • Minimally Invasive Spine Surgery
  • Spinal Endoscopy

Background:

  • Cervical disc herniation frequently causes radicular symptoms.
  • Traditional surgical approaches may involve significant tissue disruption.

Purpose of the Study:

  • To evaluate the efficacy and safety of full-endoscopic posterior surgery for cervical disc herniation.
  • To assess outcomes in patients undergoing this minimally invasive technique.

Main Methods:

  • The study involved 87 patients with cervical disc herniation and radicular symptoms.
  • A full-endoscopic posterior approach was utilized, accessing the facet joint and performing decompression under endoscopic guidance.
  • Patients were followed for 2 years post-surgery.

Main Results:

  • Significant improvement in symptoms was observed in the majority of patients.
  • The procedure demonstrated a low rate of serious complications.
  • 93% of patients reported willingness to undergo the procedure again, with 5 revisions needed.

Conclusions:

  • Full-endoscopic posterior surgery is a safe and effective treatment for cervical disc herniation.
  • This minimally invasive technique offers substantial patient benefit and high satisfaction rates.
  • It represents a viable alternative to traditional surgical methods for select spinal pathologies.