[Decompression for cervical disc herniation using the full-endoscopic anterior technique - German version].

OBJECTIVE

Resection of a cervical disc herniation using a full-endoscopic technique with an anterior approach.

INDICATION

Fresh disc herniation with monoradicular symptoms in the upper extremity.

CONTRAINDICATIONS

Pure neck pain, cervical myelopathy, older and calcified disc herniations, higher grade of instability and deformity.

SURGICAL TECHNIQUE

Introduction of a guidewire and dilatator to a cervical disc using an anterior approach. Under full-endoscopic view, preparation of the posterior parts of the annulus, opening of the annulus and posterior longitudinal ligament and resection of the herniated fragment from the epidural space.

POSTOPERATIVE MANAGEMENT

Immediate mobilisation, isometric/coordinative exercises, functional exercises from week 3, building up strength from week 6.

RESULTS

A total of 120 patients were operated using the full-endoscopic or microsurgically assisted technique and were followed up for 24 months. Significant improvement was achieved in both groups. The group of full-endoscopic operated patients returned to work significantly earlier and 89% of all patients would undergo the operation again.