Deukmedjian Ara J, Jason Cutright S T, Augusto Cianciabella Pa-C, Deukmedjian Arias
Deuk Spine Foundation, Melbourne, Florida, USA.
Surg Neurol Int. 2013 May 28;4:68. doi: 10.4103/2152-7806.112610. Print 2013.
Deuk Laser Disc Repair(®) is a new full-endoscopic surgical procedure to repair symptomatic cervical disc disease.
A prospective cohort of 66 consecutive patients underwent cervical Deuk Laser Disc Repair(®) for one (n = 21) or two adjacent (n = 45) symptomatic levels of cervical disc disease and were evaluated postoperatively for resolution of headache, neck pain, arm pain, and radicular symptoms. All patients were candidates for anterior cervical discectomy and fusion (ACDF) or arthroplasty. The Mann-Whitney Wilcoxon test was used to calculate P values.
All patients (n = 66) had significant improvement in preoperative symptoms with an average symptom resolution of 94.6%. Fifty percent (n = 33) had 100% resolution of all preoperative cervicogenic symptoms. Only 4.5% (n = 3) had less than 80% resolution of preoperative symptoms. Visual analog scale (VAS) significantly improved from 8.7 preoperatively to 0.5 postoperatively (P < 0.001) for the cohort. Average operative and recovery times were 57 and 52 minutes, respectively. There were no perioperative complications. Recurrent disc herniation occurred in one patient (1.5%). Average postoperative follow-up was 94 days and no significant intergroup difference in outcomes was observed (P = 0.111) in patients with <90 days (n = 52) or >90 days (n = 14, mean 319 days) follow-up. No significant difference in outcomes was observed (P = 0.774) for patients undergoing one or two level Deuk Laser Disc Repair(®). Patients diagnosed with postoperative cervical facet syndrome did significantly worse (P < 0.001).
Deuk Laser Disc Repair(®) is a safe and effective alternative to ACDF or arthroplasty for the treatment of one or two adjacent symptomatic cervical disc herniations with an overall success rate of 94.6%.
Deuk激光椎间盘修复术（Deuk Laser Disc Repair®）是一种全新的用于修复有症状的颈椎间盘疾病的全内镜手术方法。
一个前瞻性队列研究纳入了连续66例患者，他们因一个（n = 21）或两个相邻节段（n = 45）有症状的颈椎间盘疾病接受了颈椎Deuk激光椎间盘修复术，并在术后评估头痛、颈部疼痛、手臂疼痛和神经根症状的缓解情况。所有患者均为前路颈椎间盘切除融合术（ACDF）或人工关节成形术的候选者。采用曼-惠特尼-威尔科克森检验计算P值。
所有患者（n = 66）术前症状均有显著改善，平均症状缓解率为94.6%。50%（n = 33）的患者所有术前颈源性症状完全缓解。只有4.5%（n = 3）的患者术前症状缓解率低于80%。该队列患者的视觉模拟量表（VAS）评分从术前的8.7显著改善至术后的0.5（P < 0.001）。平均手术时间和恢复时间分别为57分钟和52分钟。无围手术期并发症。1例患者（1.5%）发生复发性椎间盘突出。术后平均随访94天，随访时间<90天（n = 52）或>90天（n = 14，平均319天）的患者在结局方面未观察到显著的组间差异（P = 0.111）。接受单节段或双节段Deuk激光椎间盘修复术的患者在结局方面未观察到显著差异（P = 0.774）。被诊断为术后颈椎小关节综合征的患者结局明显更差（P < 0.001）。
对于治疗一个或两个相邻有症状的颈椎间盘突出症，Deuk激光椎间盘修复术是ACDF或人工关节成形术的一种安全有效的替代方法，总体成功率为94.6%。
