caa a22 4500 445831456 CHVBK 20180317145316.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00586-010-1642-0 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1642-0 Full-endoscopic technique for anterior cervical discectomy and interbody fusion: 5-year follow-up results of 67 cases [Elektronische Daten] [Nuzhao Yao, Cheng Wang, Wenjun Wang, Lushan Wang] With minimally invasive technique becoming more popular, endoscopic operations such as arthroscopy or laparoscopy have become the standard of care in several other areas. In this study, we evaluated the 5-year follow-up outcomes of anterior cervical (Ahn et al. in Photomed Laser Surg 23:362-368, 2005) discectomy and interbody fusion (ACDF) performed via endoscopic approach. Sixty-seven patients who underwent anterior cervical discectomy and cage fusion performed using endoscopic technique were followed for at least 5years. We reviewed the clinical and radiographic records of these patients. The postoperative radiographic measures accessed were the anterior intervertebral height (AIH) and the lordosis angle (LDA). Clinical outcomes were determined using the previously validated Japanese Orthopaedic Association (JOA) and the pain visual analog scale (VAS). Patients included had a minimal follow-up period of 5years and based on the outcomes criteria (JOA, VAS), 86.6% of patients reported excellent or good results. The AIH increased on average 18.7% of the original height (p<0.01), and the LDA were more physiologic at final follow-up. Of the 67 cases, there was no segmental instability, and the bone fusion rate was 100%. One patient required revision open ACDF due to adjacent segment disc herniation 6years postoperatively. There were no intraoperative complications, dysphasia or esophageal injury in this study group. It indicated endoscopic technique for ACDF can obtain satisfactory results in patients with cervical disc herniation, cervical myelopathy, or radiculopathy. Compared with a traditional approach, this technique may be associated with less morbidity while improving cosmesis and postoperative recovery. Prospective randomized control trials are needed to directly compare these two procedures. Springer-Verlag, 2010 Cervical spine nationallicence Interbody fusion nationallicence Discectomy nationallicence Endoscopic microsurgery nationallicence Cage nationallicence Yao Nuzhao Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut Wang Cheng Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut Wang Wenjun Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut Wang Lushan Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut European Spine Journal Springer-Verlag 20/6(2011-06-01), 899-904 0940-6719 20:6<899 2011 20 586 https://doi.org/10.1007/s00586-010-1642-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1642-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yao Nuzhao Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut NATIONALLICENCE 700 1- Wang Cheng Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut NATIONALLICENCE 700 1- Wang Wenjun Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut NATIONALLICENCE 700 1- Wang Lushan Department of Spinal Surgery, 1st Affiliated Hospital, University of South China, 412001, Hengyang, Hunan, People's Republic of China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/6(2011-06-01), 899-904 0940-6719 20:6<899 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer