Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging Changes
Study DesignRetrospective clinical study.PurposeThis study investigated the relationship between surgical approaches and surgical outcomes in patients undergoing percutaneous endoscopic cervical discectomy (PECD), including the reduction in intervertebral disc height and the incidence of Modic chang...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2018-04-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-12-294.pdf |
| _version_ | 1818262981584093184 |
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| author | Shu Nakamura Mitsuto Taguchi |
| author_facet | Shu Nakamura Mitsuto Taguchi |
| author_sort | Shu Nakamura |
| collection | DOAJ |
| description | Study DesignRetrospective clinical study.PurposeThis study investigated the relationship between surgical approaches and surgical outcomes in patients undergoing percutaneous endoscopic cervical discectomy (PECD), including the reduction in intervertebral disc height and the incidence of Modic changes.Overview of LiteratureThe anterior approach involves partial invasion of the intervertebral disc, with a reported reduction in intervertebral disc height after PECD.MethodsForty-two patients with cervical disk hernia who underwent PECD and magnetic resonance imaging at least 3 months postoperatively were divided into four groups according to the hernia sites and the surgical approach used: unilateral hernia treated using the contralateral approach (group C, n=18), unilateral hernia treated using the ipsilateral approach (group I, n=15), midline hernia (group M, n=4), and broad and bilateral hernia (group B, n=5). Modic changes and intervertebral disc height were evaluated.ResultsThe overall incidence of Modic changes was 52.4%: 72.2% in group C, 26.7% in group I, 25.0% in group M, and 80.0% in group B. The reduction in intervertebral disc height was 21.8% across all the patients: 24.5% in group C, 11.0% in group I, 22.8% in group M, and 23.9% in group B.ConclusionsThe incidence of Modic changes and the reduction in intervertebral disc height were lower in the patients treated using the ipsilateral approach than in those treated using the contralateral approach. Traditionally, a contralateral approach has been used for PECD; however, the ipsilateral approach is more appropriate and is therefore recommended. |
| first_indexed | 2024-12-12T19:11:45Z |
| format | Article |
| id | doaj.art-e62962ca8da54fb3b3a598e62554f69a |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-12T19:11:45Z |
| publishDate | 2018-04-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-e62962ca8da54fb3b3a598e62554f69a2022-12-22T00:14:50ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-04-0112229429910.4184/asj.2018.12.2.294350Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging ChangesShu Nakamura0Mitsuto Taguchi1Department of Orthopedic Surgery, Aichi Spine Institute, Niwa-gun, Aichi, Japan.Department of Orthopedic Surgery, Aichi Spine Institute, Niwa-gun, Aichi, Japan.Study DesignRetrospective clinical study.PurposeThis study investigated the relationship between surgical approaches and surgical outcomes in patients undergoing percutaneous endoscopic cervical discectomy (PECD), including the reduction in intervertebral disc height and the incidence of Modic changes.Overview of LiteratureThe anterior approach involves partial invasion of the intervertebral disc, with a reported reduction in intervertebral disc height after PECD.MethodsForty-two patients with cervical disk hernia who underwent PECD and magnetic resonance imaging at least 3 months postoperatively were divided into four groups according to the hernia sites and the surgical approach used: unilateral hernia treated using the contralateral approach (group C, n=18), unilateral hernia treated using the ipsilateral approach (group I, n=15), midline hernia (group M, n=4), and broad and bilateral hernia (group B, n=5). Modic changes and intervertebral disc height were evaluated.ResultsThe overall incidence of Modic changes was 52.4%: 72.2% in group C, 26.7% in group I, 25.0% in group M, and 80.0% in group B. The reduction in intervertebral disc height was 21.8% across all the patients: 24.5% in group C, 11.0% in group I, 22.8% in group M, and 23.9% in group B.ConclusionsThe incidence of Modic changes and the reduction in intervertebral disc height were lower in the patients treated using the ipsilateral approach than in those treated using the contralateral approach. Traditionally, a contralateral approach has been used for PECD; however, the ipsilateral approach is more appropriate and is therefore recommended.http://www.asianspinejournal.org/upload/pdf/asj-12-294.pdfIntervertebral disc displacementMagnetic resonance imagingEndoscopesMinimally invasive surgical procedures |
| spellingShingle | Shu Nakamura Mitsuto Taguchi Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging Changes Asian Spine Journal Intervertebral disc displacement Magnetic resonance imaging Endoscopes Minimally invasive surgical procedures |
| title | Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging Changes |
| title_full | Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging Changes |
| title_fullStr | Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging Changes |
| title_full_unstemmed | Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging Changes |
| title_short | Percutaneous Endoscopic Cervical Discectomy: Surgical Approaches and Postoperative Imaging Changes |
| title_sort | percutaneous endoscopic cervical discectomy surgical approaches and postoperative imaging changes |
| topic | Intervertebral disc displacement Magnetic resonance imaging Endoscopes Minimally invasive surgical procedures |
| url | http://www.asianspinejournal.org/upload/pdf/asj-12-294.pdf |
| work_keys_str_mv | AT shunakamura percutaneousendoscopiccervicaldiscectomysurgicalapproachesandpostoperativeimagingchanges AT mitsutotaguchi percutaneousendoscopiccervicaldiscectomysurgicalapproachesandpostoperativeimagingchanges |