Zhang Chao, Wu Junlong, Zheng Wenjie, Li Changing, Zhou Yue
Department of Orthopedics, The Second Affiliated Xinqiao Hospital of Army Medical University, Chongqing, China.
Neurospine. 2020 Jul;17(Suppl 1):S74-S80. doi: 10.14245/ns.2040166.083. Epub 2020 Jul 31.
Endoscopic spine surgery for the treatment of degenerative spinal diseases from lumbar to cervical spine has accelerated over the past 2 decades. Posterior endoscopic cervical discectomy (PECD) has been described as a safe, effective, and minimally invasive procedure for cervical radiculopathy or even part of the myelopathy. This procedure also has been validated with comparable outcomes to open and microscopic surgery. Radiculopathy due to foraminal disc herniation or foraminal stenosis should be the optimum indications of this procedure. Intraoperative 3-dimensional navigation can help surgeons to get quick and great quality guidance for endoscopic surgeons. In this review, we will focus on the technical details and evidence-based results of PECD which is a promising procedure for cervical radiculopathy with the advantages of a minimally invasive method.
在过去20年里，用于治疗从腰椎到颈椎退行性脊柱疾病的内镜脊柱手术发展迅速。后路颈椎内镜下椎间盘切除术（PECD）已被描述为一种治疗神经根型颈椎病甚至部分脊髓型颈椎病的安全、有效且微创的手术。该手术与开放手术和显微手术相比，疗效相当，也得到了验证。椎间孔型椎间盘突出症或椎间孔狭窄所致的神经根病应是该手术的最佳适应证。术中三维导航可为内镜手术医生提供快速且高质量的引导。在本综述中，我们将重点关注PECD的技术细节和循证结果，PECD作为一种治疗神经根型颈椎病的有前景的手术，具有微创方法的优势。
