Chen Chien-Hua, Lu Yu-Jen, Wu Meng-Ting, Wu Tsung-Ju
Neurosurgery, Clive Chen Clinic, Taichung, TWN.
Neurosurgery, Yuan Rung Hospital, Yuanlin, TWN.
Cureus. 2025 Mar 27;17(3):e81309. doi: 10.7759/cureus.81309. eCollection 2025 Mar.
Anterior endoscopic cervical discectomy (AECD) is a minimally invasive alternative to anterior cervical discectomy and fusion (ACDF) for treating cervical disc herniation. Despite its advantages, AECD poses risks to delicate anatomical structures, including the esophagus, recurrent laryngeal nerve, inferior thyroid artery, and carotid artery. This report introduces a novel ultrasound-guided hydrodissection technique designed to enhance the safety of AECD by improving visualization and reducing iatrogenic injury. By employing ultrasound imaging, key structures can be identified in real time, while hydrodissection creates a protective space, minimizing tissue trauma when advancing the needle. This technique allows precise needle placement and facilitates a safer surgical approach. The integration of ultrasound guidance with the hydrodissection technique has the potential to reduce complications and improve procedural accuracy, making it a valuable adjunct to AECD.
前路内镜下颈椎间盘切除术（AECD）是治疗颈椎间盘突出症的一种微创替代方法，可替代颈椎前路椎间盘切除融合术（ACDF）。尽管具有优势，但AECD对包括食管、喉返神经、甲状腺下动脉和颈动脉在内的精细解剖结构构成风险。本报告介绍了一种新型超声引导下的水分离技术，旨在通过改善可视化和减少医源性损伤来提高AECD的安全性。通过使用超声成像，可以实时识别关键结构，而水分离则可创建一个保护空间，在进针时将组织创伤降至最低。该技术允许精确的针放置，并有助于实现更安全的手术方法。超声引导与水分离技术的结合有可能减少并发症并提高手术准确性，使其成为AECD的一种有价值的辅助手段。
