Decompression for cervical disc herniation using the full-endoscopic anterior technique

  • S. OezdemirEmail author
  • M. Komp
  • P. Hahn
  • S. Ruetten
Operative Techniken



Resection of a cervical disc herniation using a full-endoscopic technique with an anterior approach.


Fresh disc herniation with monoradicular symptoms in the upper extremity.


Pure neck pain, cervical myelopathy, older and calcified disc herniations, higher grade of instability and deformity.

Surgical technique

Introduction of a guidewire and dilatator to a cervical disc using an anterior approach. Under full-endoscopic view, preparation of the posterior parts of the annulus, opening of the annulus and posterior longitudinal ligament and resection of the herniated fragment from the epidural space.

Postoperative management

Immediate mobilisation, isometric/coordinative exercises, functional exercises from week 3, building up strength from week 6.


A total of 120 patients were operated using the full-endoscopic or microsurgically assisted technique and were followed up for 24 months. Significant improvement was achieved in both groups. The group of full-endoscopic operated patients returned to work significantly earlier and 89% of all patients would undergo the operation again.


Disc prolapse Cervical disc herniation Endoscopic surgical procedures Surgical decompression Microsurgery 

Dekompression beim zervikalen Bandscheibenvorfall in vollendoskopischer, ventraler Technik



Entfernung eines frischen zervikalen Bandscheibenvorfalls in vollendoskopischer Technik mittels ventralem Zugang.


Frischer Bandscheibenvorfall mit monoradikulärer Symptomatik der oberen Extremität.


Reine Nackenschmerzen, zervikale Myelopathie, alte verkalkte Bandscheibenvorfälle, höhergradige Instabilität und Deformität.


Einführen eines Führungsdrahts in eine zervikale Bandscheibe von ventral, in Dilatatortechnik Einbringen der Operationshülse. Unter vollendoskopischer Sicht Präparation zum dorsalen Annulus, Eröffnung des Anulus und des posterioren longitudinalen Ligaments sowie Resektion des Sequesters aus dem Epiduralraum.


Sofortige Mobilisation, isometrische/koordinative Übungen, ab der 3. Woche funktionelle Übungen, ab der 6. Woche Muskelaufbau.


Insgesamt wurden 120 Patienten in vollendoskopischer oder mikrochirurgisch assistierter Technik operiert und über 2 Jahre nachuntersucht. Signifikante Verbesserungen wurden in beiden Gruppen erreicht. Die Gruppe der vollendoskopisch operierten Patienten kehrte signifikant früher in den Beruf zurück. Etwa 89 % aller Patienten würden den Eingriff erneut durchführen lassen.


Bandscheibenprolaps Zervikaler Bandscheibenvorfall Endoskopische Operationsmethoden Operative Dekompression Mikrochirurgie 


Compliance with ethical guidelines

Conflict of interest

S. Oezdemir, M. Komp, P. Hahn and S. Ruetten declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.

The supplement containing this article is not sponsored by the industry.


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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Zentrum für Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und UnfallchirurgieSt. Elisabeth Gruppe—Katholische Kliniken Rhein-Ruhr, St. Anna Hospital HerneHerneGermany

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