Endoscopic spine discectomy: indications and outcomes
1Department of Neurosurgery, Gil Medical Center, Gachon University College of Medicine, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon, 21565, Republic of Korea. ns-ay@hanmail.net.
International Orthopaedics
|January 7, 2019
Summary
Percutaneous endoscopic discectomy offers effective, minimally invasive treatment for soft disc herniations. This endoscopic spine surgery approach provides benefits like minimal tissue trauma in selected patients.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Minimally Invasive Spine Surgery
Background:
- Percutaneous endoscopic discectomy is a recognized minimally invasive spine surgery (MISS) for soft disc herniations.
- Endoscopic spine surgery utilizes advanced techniques for spinal decompression.
Purpose of the Study:
- To review current indications for percutaneous endoscopic discectomy.
- To describe surgical techniques and clinical outcomes of endoscopic spine surgery.
- To evaluate the effectiveness of MISS for lumbar and cervical disc herniations.
Main Methods:
- A narrative review was conducted.
- Focused on surgical indications and clinical outcomes of percutaneous endoscopic discectomy.
- Included lumbar and cervical spine procedures using working channel endoscopes.
Main Results:
- Transforaminal and interlaminar approaches for lumbar disc herniation (LDH) were reviewed.
- Anterior and posterior approaches for cervical disc herniation (CDH) were detailed.
- Demonstrated principles, techniques, and outcomes of endoscopic discectomy.
Conclusions:
- Endoscopic spine surgery is effective for soft disc herniation in selected cases.
- Benefits include minimal tissue trauma and reliable clinical results.
- Expanding indications and advancements enhance the practicality of endoscopic spine surgery.
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