RESULTS OF POSTERIOR UNILATERAL BIPARTIC ENDOSCOPIC CERVICAL FORAMINOTOMY AND DISCECTOMY

Authors

  • Kuziev Ortiksher Ilmiddinovich
  • Abdurahmonov Abdurashid Abdubannob o`q`li
  • Haidarov Azizjon Kosimovich
  • Ismoilova Muazzam Isroilovna

Keywords:

Endoscopic discectomy, cervical disc herniation, posterior foraminotomy

Abstract

This report discusses a new minimally invasive technique - posterior percutaneous endoscopic discectomy of the cervical spine, performed using a unilateral biportal endoscopic approach. In 2024, this approach was used in 12 patients. The analysis assessed the cervical disability index and the results of the visual analog scale for the neck and upper limb. The disability index decreased from 27.0 ± 2.5 to 6.8 ± 1.4 at the last control (P < 0.05). The visual analog scale scores for the neck and upper arm also showed a significant decrease (neck: 6.2 ± 0.8 to 2.4 ± 0.9; arm: 7.0 ± 1.1 to 2.2 ± 0.6). Posterior percutaneous endoscopic discectomy of the cervical spine ensures a clean surgical field due to continuous irrigation with saline solution and minimal hospitalization without the need for rehabilitation. Thus, this procedure is an alternative treatment option for cervical foraminal disc herniation.

References

De Antoni DJ, Claro ML, Poehling GG, Hughes SS. Translaminar lumbar epidural endoscopy: anatomy, technique, and indications. Arthroscopy. 1996 Jun;12(3):330-4. doi: 10.1016/s0749-8063(96)90069-9. PMID: 8783828.

DeAntoni DJ, Claro ML, Poehling GG, Hughes SS. Translaminar lumbar epidural endoscopy: technique and clinical results. J South Orthop Assoc. 1998 Spring;7(1):6-12. PMID: 9570726.

R. Dj.Khalimov, A.M.Djurayev, Kh.R. Rakhmatullayev/ Rehabilitation Program For Children Withperthes Disease. Turkish Journal of Physiotherapy and Rehabilitation. 32(3).2021. Р.18403 – 18406

Hosono N, Yonenobu K, Ono K. Neck and shoulder pain after laminoplasty. A noticeable complication. Spine (Phila Pa 1976). 1996 Sep 1;21(17):1969-73. doi: 10.1097/00007632-199609010-00005. PMID: 8883196.

Hwa Eum J, Hwa Heo D, Son SK, Park CK. Percutaneous biportal endoscopic decompression for lumbar spinal stenosis: a technical note and preliminary clinical results. J Neurosurg Spine. 2016 Apr;24(4):602-7. doi: 10.3171/2015.7.SPINE15304. Epub 2016 Jan 1. PMID: 26722954.

Jagannathan J, Sherman JH, Szabo T, Shaffrey CI, Jane JA. The posterior cervical foraminotomy in the treatment of cervical disc/osteophyte disease: a single-surgeon experience with a minimum of 5 years' clinical and radiographic follow-up. J Neurosurg Spine. 2009 Apr;10(4):347-56. doi: 10.3171/2008.12.SPINE08576. PMID: 19441994.

Mansfield HE, Canar WJ, Gerard CS, O'Toole JE. Single-level anterior cervical discectomy and fusion versus minimally invasive posterior cervical foraminotomy for patients with cervical radiculopathy: a cost analysis. Neurosurg Focus. 2014 Nov;37(5):E9. doi: 10.3171/2014.8.FOCUS14373. PMID: 25491887.

Ruetten S, Komp M, Merk H, Godolias G. A new full-endoscopic technique for cervical posterior foraminotomy in the treatment of lateral disc herniations using 6.9-mm endoscopes: prospective 2-year results of 87 patients. Minim Invasive Neurosurg. 2007 Aug;50(4):219-26. doi: 10.1055/s-2007-985860. PMID: 17948181.

Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study. Spine (Phila Pa 1976). 2008 Apr 20;33(9):940-8. doi: 10.1097/BRS.0b013e31816c8b67. PMID: 18427313.

AM Dzhuraev, RD Khalimov Our experience in the surgical treatment of Perthes disease in children. Postgraduate Physician 2012. N1.3 Том 50.Р. 377-383.

Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PMID: 1834753.

Winder MJ, Thomas KC. Minimally Invasive versus Open Approach for Cervical Laminoforaminotomy. Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques. 2011;38(2):262-267. doi:10.1017/S0317167100011446

Published

2025-02-15