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J Neurol Surg A Cent Eur Neurosurg 2021; 82(03): 197-203
DOI: 10.1055/s-0040-1709166
Original Article

Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Derya Gündoğdu Karaoglu
1   Ankara Numune Research and Training Hospital, Neurosurgery Clinic, Ankara, Turkey
,
Omer Polat
2   Düzce University, School of Medicine, Department of Neurosurgery, Düzce, Turkey
,
Ozhan Merzuk Uckun
1   Ankara Numune Research and Training Hospital, Neurosurgery Clinic, Ankara, Turkey
,
Resul Karadeniz
1   Ankara Numune Research and Training Hospital, Neurosurgery Clinic, Ankara, Turkey
,
Deniz Belen
1   Ankara Numune Research and Training Hospital, Neurosurgery Clinic, Ankara, Turkey
,
Ali Dalgic
1   Ankara Numune Research and Training Hospital, Neurosurgery Clinic, Ankara, Turkey
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Abstract

Objective To evaluate the clinicoradiologic conditions of patients with a herniated cervical disk who were treated with percutaneous endoscope-assisted cervical diskectomy.

Materials and Methods The medical data of 27 patients (16 men and 11 women; mean age: 40.9 years) who were operated on with the posterior endoscope-assisted cervical diskectomy method were reviewed retrospectively. The mean follow-up was 35.1 months, and the patients were assessed with combined preoperative and postoperative visual analog scale (VAS), Prolo Functional Economic Outcome Rating scale, MacNab scale, and clinical imaging.

Results The mean preoperative VAS level was 8.6 (range: 7–10), and mean Prolo score was 2.5 (range: 2–5). A postoperative assessment performed 1 week postsurgery found a mean VAS level of 2.1 (range: 0–4). At the final examination, the mean VAS level was 0.81 (range: 0–3), and the mean Prolo score was 4.5 (range: 3–5). The final MacNab scale scores were 62.9%, excellent; 25.9%, good; 7.4%, moderate; and 3.7%, poor.

Conclusion Percutaneous endoscope-assisted cervical diskectomy is a suitable and effective treatment method for soft cervical disk herniation.

Keywords

spine - cervical disk herniation - diskectomy - endoscopy - endoscope assisted


Publication History

Received: 08 February 2019

Accepted: 30 July 2019

Article published online:
06 January 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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