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01-12-2009 | Original Paper

Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations

Authors: Sebastian Ruetten, Martin Komp, Harry Merk, Georgios Godolias

Published in: International Orthopaedics | Issue 6/2009

Abstract

Anterior cervical decompression and fusion (ACDF) is the standard for cervical discectomies. With the full-endoscopic anterior cervical discectomy (FACD) a minimally invasive procedure is available. The objective of this prospective, randomised, controlled study was to compare the results of FACD with those of ACDF in mediolateral soft disc herniations. A total of 103 patients with ACDF or FACD were followed up for two years. In addition to general parameters specific measuring instruments were used. Postoperatively 85.9% of the patients no longer had arm pain, and 10.1% had occasional pain. There were no significant clinical differences between the decompression with or without fusion. The full-endoscopic technique afforded advantages in operation technique, rehabilitation and soft tissue injury. The recorded results show that FACD is a sufficient and safe alternative to conventional procedures when the indication criteria are fulfilled. At the same time, it offers the advantages of a minimally invasive intervention.

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Title: Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations
Authors: Sebastian Ruetten
Martin Komp
Harry Merk
Georgios Godolias
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 6/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-008-0684-y

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Full-endoscopic anterior decompression versus conventional anterior decompression and fusion in cervical disc herniations

Abstract

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Springer Medicine

Abstract

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