Ahn Yong
a Department of Neurosurgery , Nanoori Hospital , Seoul , Republic of Korea.
Expert Rev Med Devices. 2016 Jun;13(6):601-10. doi: 10.1080/17434440.2016.1180245. Epub 2016 Apr 27.
Percutaneous endoscopic cervical discectomy has evolved as an efficient, minimally invasive spine surgery for cervical disc herniation or radiculopathy. The development of the working channel endoscope makes definitive decompression surgery through a percutaneous approach feasible. There are two methods of approach to target the pathology: anterior and posterior approach. The approach can be determined according to the zone of pathology or the surgeon's preference. The most significant benefits of this endoscopic surgical technique are minimal access tissue trauma and early recovery from the intervention. However, this technique is still evolving and have a steep learning curve. Extensive development of surgical technique and working channel endoscopes will enable us to treat cervical disc herniation more practically. The objective of this review is to describe the cutting-edge techniques of endoscopic surgery in the cervical spine and to discuss the pros and cons of these minimally invasive surgical techniques.
经皮内镜下颈椎间盘切除术已发展成为一种治疗颈椎间盘突出症或神经根病的高效、微创脊柱手术。工作通道内镜的发展使通过经皮途径进行确定性减压手术成为可能。针对病变有两种入路方法：前路和后路。可根据病变区域或外科医生的偏好来确定入路。这种内镜手术技术的最大益处是组织创伤小且干预后恢复快。然而，这项技术仍在不断发展，学习曲线较陡。手术技术和工作通道内镜的广泛发展将使我们能够更切实地治疗颈椎间盘突出症。本综述的目的是描述颈椎内镜手术的前沿技术，并讨论这些微创手术技术的优缺点。
