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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2024 | Cervical Disc Herniation | Research article

Anterior transcorporeal approach combined with posterior translaminar approach in percutaneous endoscopic cervical discectomy for two-segment cervical disc herniation treatment: a technical report and early follow-up

Authors: Zheng-Ji Wang, Qian Du, Shu-Fa Wang, Heng Su, Wen He, Wen-Bo Liao, Zhi-Jun Xin, Wei-Jun Kong

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2024

Abstract

Objective

Full endoscopic techniques are being gradually introduced from single-segment cervical disc herniation surgery to two-segment cervical disc herniation surgery. However, there is no suitable full endoscopic treatment for mixed-type two-segment cervical disc herniation (MTCDH) in which one segment herniates in front of the spinal cord and the other segment herniates behind the spinal cord. Therefore, we introduce a new full endoscopic technique by combining an anterior transcorporeal approach and a posterior translaminar approach. In addition, we provide a brief description of its safety, efficacy, feasibility, and surgical points.

Methods

Thirty patients with MTCDH were given full endoscopic surgical treatment by a combined transcorporeal and transforaminal approach and were followed up for at least 12 months.

Results

Clinical assessment scales showed that the patient’s symptoms and pain were significantly reduced postoperatively. Imaging results showed bony repair of the surgically induced bone defect and the cervical Cobb angle was increased. No serious complications occurred.

Conclusion

This technique enables minimally invasive surgery to relieve the compression of the spinal cord by MTCDH. It avoids the fusion of the vertebral body for internal fixation, preserves the vertebral motion segments, avoids medical destruction of the cervical disc to the greatest extent possible, and expands the scope of adaptation of full endoscopic technology in cervical surgery.

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Title: Anterior transcorporeal approach combined with posterior translaminar approach in percutaneous endoscopic cervical discectomy for two-segment cervical disc herniation treatment: a technical report and early follow-up
Authors: Zheng-Ji Wang
Qian Du
Shu-Fa Wang
Heng Su
Wen He
Wen-Bo Liao
Zhi-Jun Xin
Wei-Jun Kong
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Cervical Disc Herniation
Cervical Disc Herniation
Minimally Invasive Surgery
Endoscopy
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2024
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-023-04471-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anterior transcorporeal approach combined with posterior translaminar approach in percutaneous endoscopic cervical discectomy for two-segment cervical disc herniation treatment: a technical report and early follow-up

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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