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Endoscopic Anterior Cervical Discectomy (Disc Preserving)
Shailendra Ratre1, Yad R Yadav1, M N Swamy1
1Department of Neurosurgery, Superspeciality Hospital, N.S.C.B. Medical College, Jabalpur, Madhya Pradesh, India.
Neurology India
|December 21, 2020
Summary
Endoscopic anterior cervical discectomy offers a safe and effective alternative to traditional methods. This minimally invasive technique shows significant patient outcome improvements with minimal complications.
Area of Science:
- Neurosurgery
- Minimally Invasive Spine Surgery
Background:
- Endoscopic anterior cervical approach offers advantages over conventional anterior cervical discectomy and fusion (ACDF).
- Minimally invasive techniques are increasingly preferred in spinal surgery.
Purpose of the Study:
- To demonstrate the step-by-step procedure for endoscopic anterior cervical discectomy.
- To evaluate the efficacy and safety of the endoscopic technique.
Main Methods:
- A standard 3 cm anterior cervical incision was utilized.
- Endoscopic visualization guided the drilling of the uncinate process and uncus.
- Minimal removal of disc, posterior longitudinal ligament (PLL), and compressing disc was performed.
Main Results:
- Average operative time was 110 ± 17 minutes with minimal blood loss (30 ± 11 mL).
- Significant improvements were observed in postoperative Visual Analog Scale (VAS) scores and Nurick grading.
- No permanent complications or mortality were reported in 240 patients.
Conclusions:
- Endoscopic anterior cervical discectomy is a safe and effective alternative to ACDF.
- Successful implementation requires mastering the learning curve associated with the endoscopic technique.
