Biportal Endoscopic Surgery With Trans-Pedicle Approach Treat Central Cervical Disc Herniation: A Keyhole Technique With Assisting Portals
Abstract
Study design: Case series.
Objectives: Anterior cervical discectomy and fusion (ACDF) is the standard treatment for central cervical disc herniation but may cause complications like loss of motion, dysphagia, and adjacent segment degeneration. This study evaluates a novel Biportal Endoscopic Spinal Surgery with trans-pedicle approach (BESS-TPA) as a minimally invasive alternative, preserving cervical mobility by avoiding instrumentation.
Materials and methods: A retrospective analysis of 24 patients with central cervical disc herniation who underwent BESS-TPA at a single center from July 2022 to June 2023 was performed. Clinical outcomes were assessed using the modified Japanese Orthopaedic Association (mJOA) scores, SF-36 pain and physical function domains, and modified MacNab criteria. Radiographic evaluation with X-rays, CT, and MRI examined structural changes and surgical outcomes.
Results: All patients experienced significant symptom relief. Postoperative MRI confirmed complete resection of the herniated disc using the posterior approach.
Conclusions: BESS-TPA provides a safe, effective, and minimally invasive alternative to ACDF for selected central or paracentral cervical disc herniation. It facilitates access to the ventral dura sac, enabling safer central discectomy while maintaining cervical spine mobility.
How strong is the evidence?
Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health. Reported size: 24 participants or records.
Read the paper
Related studies
- A Survey on Knowledge Graphs: Representation, Acquisition, and Applications
- Toxicity of nanomaterials
- The Human Gene Mutation Database: towards a comprehensive repository of inherited mutation data for medical research, genetic diagnosis and next-generation sequencing studies
- Halogen bonding (X‐bonding): A biological perspective
- Biofilm formation at the air–liquid interface by the Pseudomonas fluorescens SBW25 wrinkly spreader requires an acetylated form of cellulose
- Opioid Activation of Toll-Like Receptor 4 Contributes to Drug Reinforcement
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.