The International journal of neuroscience
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Observational Study
Posterior percutaneous endoscopic cervical discectomy through lamina-hole approach for cervical intervertebral disc herniation.
The optimal PECD surgical approach for cervical intervertebral disc herniation (CIVDH) remains controversial. The conventional posterior K-hole approach for PECD leads to damage of facet joint. ⋯ As an alternative surgical approach of PPECD, PPECD through lamina-hole approach is a novel access for CIVDH and may be considered a valid and safe therapeutic option for CIVDH. The advantages of this approach are not only providing a valid and secure access to herniated cervical intervertebral fragment but also avoiding the iatrogenic damage to the facet joint and relevant functional spinal unit (FSU). Theoretically, the potential of secondary degeneration of FSU is low.