Abstract
Percutaneous endoscopic cervical discectomy (PECD) is an effective minimally invasive surgery for soft cervical disc herniation in properly selected cases. The current gold standard is anterior cervical discectomy and fusion (ACDF). However, few studies have evaluated the outcome of PECD compared with ACDF. We compared the surgical results of PECD and ACDF. Data from patients treated with single-level PECD (n = 51) or ACDF (n = 64) were analyzed. Patients were prospectively entered into the clinical database and their records were retrospectively reviewed. Perioperative data and clinical outcomes were evaluated using the visual analogue scale (VAS), Neck Disability Index (NDI), and modified Macnab criteria. VAS and NDI results significantly improved in both groups. The rates of excellent or good results were 88.24% and 90.63% in the PECD and ACDF group, respectively. The revision rates were 3.92% and 1.56% in the PECD and ACDF group, respectively. Operative time, hospital stay, and time to return to work were reduced in the PECD group compared to the ACDF group (p < 0.001). The five-year outcomes of PECD were comparable to those of conventional ACDF. PECD provided the typical benefits of minimally invasive surgery and may be an effective alternative for treating soft cervical disc herniation.
Highlights
Anterior cervical discectomy and fusion (ACDF) is regarded as the gold standard surgical option for cervical disc herniation (CDH)
Various percutaneous endoscopic cervical discectomy (PECD) techniques have evolved in selected cases [10,11]
Perioperative data, including the operative time, hospital stay, and time to return to work, were documented
Summary
Anterior cervical discectomy and fusion (ACDF) is regarded as the gold standard surgical option for cervical disc herniation (CDH). This technique can be accompanied by considerable approach- [1,2,3,4] and fusion-related complications [5,6,7]. A paucity of cohort studies has compared the PECD technique and conventional ACDF over a long-term follow-up period. It is unknown whether PECD exhibits the typical properties of minimally invasive spine surgery (MISS) when compared with open surgery.
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