scholarly journals Effective Range of Percutaneous Posterior Full-Endoscopic Paramedian Cervical Disc Herniation Discectomy and Indications for Patient Selection

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Hongquan Wen ◽  
Xin Wang ◽  
Wenbo Liao ◽  
Weijun Kong ◽  
Jianpu Qin ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Patient Selection ◽  
Average Distance ◽  
Cervical Disc Herniation ◽  
Effective Range ◽  
Herniated Disc ◽  
Cervical Disc ◽  
Effective Treatment Option ◽  
Medial Border ◽  
Dural Sac

The objective was to investigate the effective and safe range of paramedian CDH by percutaneous posterior full-endoscopy cervical intervertebral disc nucleus pulposus resection (PPFECD) to provide a reference for indications and patient selection. Sixteen patients with CDH satisfied the inclusion criteria. Before surgery the patients underwent cervical spine MRI, and the distance between the dural sac and herniated disc was measured. An assessment was performed by MRI immediately after surgery, measuring the distance between dural sac and medial border of discectomy (DSMD). The preoperative average distance between the dural sac and peak of the herniated disc (DSPHD) was 3.87 ± 1.32 mm; preoperative average distance between dural sac and medial border of herniated disc (DSMHD) was 6.91 ± 1.21 mm and an average distance of postoperative DSMD was 5.41 ± 1.40 mm. Postoperative VAS of neck and shoulder pain was significantly decreased but JOA was significantly increased in each time point compared with preoperative ones. In summary, the effective range of PPFECD to treat paramedian CDH was 5.41 ± 1.40 mm, indicating that DSMHD and DSPHD were within 6.91 ± 1.21 mm and 3.87 ± 1.32 mm, respectively. PPFECD surgery is, therefore, a safe and effective treatment option for patients with partial paramedian cervical disc herniation.

scholarly journals Three-level cervical disc herniation

2015 ◽  
Vol 29 (3) ◽  
pp. 309-315
Author(s):  
Andrei St. Iencean ◽  
Ion Poeata
Keyword(s):  
Cervical Spine ◽  
Disc Herniation ◽  
The Elderly ◽  
Cervical Disc Herniation ◽  
Herniated Disc ◽  
Cervical Disc ◽  
Disc Disease ◽  
Degenerative Disc ◽  
Spine Pathology ◽  
Rapid Relief

Abstract Multilevel cervical degenerative disc disease is well known in the cervical spine pathology, with radicular syndromes or cervical myelopathy. One or two level cervical herniated disc is common in adult and multilevel cervical degenerative disc herniation is common in the elderly, with spinal stenosis, and have the same cause: the gradual degeneration of the disc. We report the case of a patient with two level cervical disc herniation (C4 – C5 and C5 – C6) treated by anterior cervical microdiscectomy both levels and fusion at C5 – C6; after five years the patient returned with left C7 radiculopathy and MRI provided the image of a left C6 – C7 disc herniation, he underwent an anterior microsurgical discectomy with rapid relief of symptoms. Three-level cervical herniated disc are rare in adults, and the anterior microdiscectomy with or without fusion solve this pathology.

Intradural cervical disc herniation

2000 ◽  
Vol 92 (2) ◽  
pp. 221-224 ◽  
Author(s):  
Wolfgang Börm ◽  
Torsten Bohnstedt
Keyword(s):  
Disc Herniation ◽  
Anterior Approach ◽  
Cervical Disc Herniation ◽  
Herniated Disc ◽  
Cervical Disc ◽  
Resonance Imaging ◽  
Pertinent Literature ◽  
Disc Space ◽  
Content Type ◽  
Therapeutic Implications

✓ The authors describe a rare case of an intradural cervical disc herniation in a 40-year-old man presenting with Brown—Séquard's syndrome. Magnetic resonance imaging revealed the pathological entity at the C5–6 disc space, which showed suspicious signs of intradural extension of the disc herniation. After the patient underwent microsurgical removal of the herniated disc via an anterior approach, he experienced a complete remission of symptoms. The existing pertinent literature is reviewed, and diagnostic and therapeutic implications are discussed.

scholarly journals Percutaneous Intradiscal O2-O3 Injection to Treat Cervical Disc Herniation

2005 ◽  
Vol 18 (2_suppl) ◽  
pp. 75-78
Author(s):  
Xf. He ◽  
YY. Xiao ◽  
YH. Li ◽  
W. Lu ◽  
Y. Chen ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Treatment Failure ◽  
Therapeutic Effect ◽  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Herniated Disc ◽  
Cervical Disc ◽  
Disc Space ◽  
The Right ◽  
Herniated Discs

We evaluated the safety and therapeutic effect of treating cervical disc herniation with O2-O3 mixture injection into the intradiscal space. 58 patients with 126 herniated discs verified by MRI were selected for the study, and all patients presented the symptoms of upper limb, cervical and shoulder pain. The procedures were guided by fluoroscopy (28 cases) and by CT (30 cases). The puncture route was defined between the right common carotid artery and trachea clearance. 1∼2 ml O2-O3 mixture at 30–40 ug/mL was injected into each herniated disc space. 58 patients were followed up from three to 30 months after treatment. The therapeutic effect showed that 33 cases (56.9%) had excellent recovery, 11 cases (19.0%) had significant relief of symptoms, and 14 cases (24.1%) resulted in treatment failure. No serious complication occurred. The therapeutic method developed by using O2-O3 mixture injection in cervical intradiscal space was a safe and effective method for the treatment of cervical disc herniation.

Cervical brucellar spondylodiscitis mimicking a cervical disc herniation with epidural abscess: a case report

2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Ahmet Aslan ◽  
Ünal Kurtoğlu ◽  
Mustafa Özgür Akça ◽  
Sinan Tan ◽  
Uğur Soylu ◽  
...  
Keyword(s):  
Case Report ◽  
Disc Herniation ◽  
Epidural Abscess ◽  
Cervical Disc Herniation ◽  
Cervical Disc

scholarly journals Comparative evaluation of posterior percutaneous endoscopy cervical discectomy using a 3.7 mm endoscope and a 6.9 mm endoscope for cervical disc herniation: a retrospective comparative cohort study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Tong Yu ◽  
Jiu-Ping Wu ◽  
Jun Zhang ◽  
Hai-Chi Yu ◽  
Qin-Yi Liu
Keyword(s):  
Clinical Outcomes ◽  
Disc Herniation ◽  
Large Diameter ◽  
Clinical Results ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Cervical Discectomy ◽  
Significant Difference ◽  
Cord Injury ◽  
Percutaneous Endoscopy

Abstract Background Posterior percutaneous endoscopy cervical discectomy (p-PECD) is an effective strategy for the treatment of cervical diseases, with a working cannula ranging from 3.7 mm to 6.9 mm in diameter. However, to date, no studies have been performed to compare the clinical outcomes of the use of endoscopes with different diameters in cervical disc herniation (CDH) patients. The purpose of this study was to compare the clinical outcomes of patients with unilateral CDH treated with p-PECD using a 3.7 mm endoscope and a 6.9 mm endoscope. Methods From January 2016 to June 2018, a total of 28 consecutive patients with single-level CDH who received p-PECD using either the 3.7 mm or the 6.9 mm endoscope were enrolled. The clinical results, including the surgical duration, hospitalization, visual analog scale (VAS) score and modified MacNab criteria, were evaluated. Cervical fluoroscopy, CT, and MRI were also performed during follow-up. Results Tthere was a significant difference in regard to the average identification time of the “V” point (18.608 ± 3.7607 min vs. 11.256 ± 2.7161 min, p < 0.001) and the mean removal time of the overlying tissue (16.650 ± 4.1730 min vs. 12.712 ± 3.3079 min, p < 0.05) for the use of the 3.7 mm endoscope and the 6.9 mm endoscope, respectively. The postoperative VAS and MacNab scores of the two endoscopes were significantly improved compared with those the preoperative scores (p < 0.05). Conclusion The application of both the 3.7 mm endoscope and 6.9 mm endoscope represent an effective method for the treatment of CDH in selected patients, and no significant difference can be observed in the clinical outcomes of the endoscopes. The 6.9 mm endoscope shows superiority to the 3.7 mm endoscope in terms of the efficiency of “V” point identification, the removal of overlying soft tissue and the prevention of spinal cord injury. However, the 6.9 mm endoscope may be inferior to the 3.7 mm endoscope in regards to anterior foraminal decompression due to its large diameter; this result needs to be further evaluated with the support of a large number of randomized controlled trials.

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