Percutaneous Full-endoscopic Anterior Transcorporeal Cervical Discectomy and Channel Repair: a Technique Note Report

Overview

Journal BMC Musculoskelet Disord

Publisher Biomed Central

Specialties Orthopedics
Physiology

Date 2019 Jun 12

PMID 31182078

Citations 9

Authors

Qian Du

Lan-Qiong Lei

Guan-Ru Cao

Wei-Jun Kong

Jun Ao

Xin Wang

An-Su Wang

Wen-Bo Liao

Affiliations

Soon will be listed here.

Abstract

Background: Compared to anterior cervical discectomy and fusion (ACDF), cervical motion segment and disc was retained through anterior transcorporeal herniotomy (ATH). But surgical field and manipulation in traditional ATH was restricted by the narrow channel. Percutaneous full-endoscopic transdiscal cervical discectomy is a minimally invasive and functional spine surgery. However, significant loss of intervertebral disc height was inevitable. This study was done to illustrate the feasibility, safety, and efficacy and present our surgical experience of percutaneous full-endoscopic anterior transcorporeal cervical discectomy (PEATCD) and channel repair (CR) for the treatment of cervical disc herniation (CDH).

Methods: Four patients with CDH were chosen to undergo PEATCD and CR with a follow-up care for at least 22 months. The visual analogue score (VAS), Japanese Orthopedic Association (JOA), and modified Macnab criteria were recorded during the postoperative periods. CT images were obtained to observe the healing of the channel at 1 week and 3 months after the operation.

Results: The average operating time was 83.75 min. Drainage tubes were unnecessary. No procedure-related complications occurred. The postoperative VAS and JOA scores were improved compared to those of the preoperative assessment. The clinical efficacy was excellent in 3 patients and good in 1 patient at final follow up stage according to the modified Macnab criteria. The hernia was removed completely in all patients according to postoperative MRI. Migration of the repair implementation and collapse of the drilled vertebrae were not observed during the postoperative periods. The bony channel was nearly absent on CT images obtained at 3 months postoperative.

Conclusion: This is the first time that the anterior transcorporeal cervical discectomy and CR have been performed simultaneously under endoscopy. Less damage to disc and the retained cervical motion segment were achieved through this method. This is a feasible, safe, and minimally invasive procedure.

Trial Registration: Numbers: ChiCTR1800016383 . Registered 29 may 2018. Retrospectively registered.

Trial Registry: Chinese Clinical Trial Registry.

Citing Articles

Evaluating the effectiveness of the transcorporeal approach in minimally invasive spine surgery for cervical spinal disease: a comprehensive review and technical insights.

Liu Y, Suvithayasiri S, Van Isseldyk F, Kotheeranurak V, Jitpakdee K, Choi K BMC Surg. 2024; 24(1):311.

PMID: 39407285 PMC: 11481767. DOI: 10.1186/s12893-024-02611-z.

Anterior percutaneous full-endoscopic transcorporeal decompression for cervical disc herniation: a finite element analysis and long-term follow-up study.

Du Q, Wang Z, Zheng H, Wang S, Cao G, Xin Z BMC Musculoskelet Disord. 2024; 25(1):639.

PMID: 39134982 PMC: 11321056. DOI: 10.1186/s12891-024-07754-x.

Anterior Full-endoscopic Single-port Double Transcorporeal Spinal Cord Decompression for Noncontinuous Two-segment Cervical Spondylotic Myelopathy: A Technical Note.

Chen G, Xin Z, Kong W, Wu F, Li X, Qiao Y Orthop Surg. 2024; 16(3):754-765.

PMID: 38287224 PMC: 10925512. DOI: 10.1111/os.13988.

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.

Wang Z, Du Q, Wang S, Su H, He W, Liao W J Orthop Surg Res. 2024; 19(1):3.

PMID: 38167157 PMC: 10763675. DOI: 10.1186/s13018-023-04471-4.

Percutaneous Fully-endoscopic Anterior Transcorporeal Procedure for the Treatment of Isolated Ossification of the Posterior Longitudinal Ligament in the Cervical Spine: A Case Report.

Li J, Ao J, Hu X, Du Q, Qin J, Ji W Orthop Surg. 2023; 16(2):514-520.

PMID: 38111022 PMC: 10834199. DOI: 10.1111/os.13966.

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