Cervical Deuk Laser Disc Repair®: A novel, full-endoscopic surgical technique for the treatment of symptomatic cervical disc disease
| Autor: | Augusto Cianciabella, Ara J Deukmedjian, Arias Deukmedjian, Jason Cutright |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Debridement intervertebral disc degeneration business.industry medicine.medical_treatment intervertebral disc displacement Anterior cervical discectomy and fusion minimally invasive spine surgery medicine.disease Surgery endoscopic spine surgery Stenosis Deuk Laser Disc Repair® Discectomy Intervertebral Disc Displacement Technical Note medicine Tears Posterior longitudinal ligament Neurology (clinical) Cervical disc business Cervical radiculopathy |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.4103/2152-7806.103884 |
| Popis: | Background Cervical Deuk Laser Disc Repair(®) is a novel full-endoscopic, anterior cervical, trans-discal, motion preserving, laser assisted, nonfusion, outpatient surgical procedure to safely treat symptomatic cervical disc diseases including herniation, spondylosis, stenosis, and annular tears. Here we describe a new endoscopic approach to cervical disc disease that allows direct visualization of the posterior longitudinal ligament, posterior vertebral endplates, annulus, neuroforamina, and herniated disc fragments. All patients treated with Deuk Laser Disc Repair were also candidates for anterior cervical discectomy and fusion (ACDF). Methods A total of 142 consecutive adult patients with symptomatic cervical disc disease underwent Deuk Laser Disc Repair during a 4-year period. This novel procedure incorporates a full-endoscopic selective partial decompressive discectomy, foraminoplasty, and posterior annular debridement. Postoperative complications and average volume of herniated disc fragments removed are reported. Results All patients were successfully treated with cervical Deuk Laser Disc Repair. There were no postoperative complications. Average volume of herniated disc material removed was 0.09 ml. Conclusions Potential benefits of Deuk Laser Disc Repair for symptomatic cervical disc disease include lower cost, smaller incision, nonfusion, preservation of segmental motion, outpatient, faster recovery, less postoperative analgesic use, fewer complications, no hardware failure, no pseudoarthrosis, no postoperative dysphagia, and no increased risk of adjacent segment disease as seen with fusion. |
| Databáze: | OpenAIRE |
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