Posterior Endoscopic Cervical Discectomy

Cervical radiculopathy is a prevalent disorder of the cervical spine. With advances in minimally invasive surgery, posterior cervical foraminotomy (PCF) has been conducted using an endoscopic system, demonstrating favorable clinical outcomes. Posterior endoscopic cervical foraminotomy or posterior endoscopic cervical discectomy could reduce blood loss, operating time, and hospital stay compared to conventional open PCF. We performed a full-endoscopic cervical approach employing one portal with integrated working and viewing channels. When conducting foraminotomy and discectomy, we simultaneously applied a partial pediculotomy, partial vertebrotomy approach to minimize neural retraction and ensure sufficient decompression of osseous structures. The authors illustrate the surgical technique of posterior endoscopic cervical foraminotomy with discectomy.