title: Cervical microendoscopic discectomy and fusion: does it affect the postoperative course and the complication rate? A blinded randomized controlled trial.
abstract: METHODS
  A blinded randomized controlled trial.
  
  
  OBJECTIVE
  The purpose of this study was to evaluate the cervical microendoscopic discectomy and fusion.
  
  
  BACKGROUND
  Minimally invasive treatment of spinal disorders allows surgeons to have direct access to the pathology with a reduced surgical morbidity, which is reflected over the improved postoperative course. Minimally invasive techniques for cervical discectomy including the posterior microendoscopic discectomy and the percutaneous endoscopic discectomy have a high success rate but are limited by the narrow range of indications. Lately, preliminary reports about cervical microendoscopic discectomy and fusion (CMEDF) showed high success rates without restrictions in the indications.
  
  
  METHODS
  Seventy consecutive patients were randomly assigned in 2 equal groups, the first operated by the "gold standard" anterior cervical discectomy and fusion and the second by CMEDF. Blinding included the patient-until dressing removal, the evaluating physician, and the radiologist throughout the entire study. The mean follow-up period was 28 months and outcome has been assessed using the Japanese Orthopaedic Association score, Odom criteria and the visual analogue scale. In addition, the operative time, complication rate, hospitalization, and the postoperative analgesic doses were recorded.
  
  
  RESULTS
  The functional outcome of the CMEDF at the final follow-up was 91% good to excellent. Results in the open group were very similar. Meanwhile, CMEDF demonstrated improved cosmesis, reduced laryngopharyngeal complication rate, postoperative analgesics, and hospital stay.
  
  
  CONCLUSIONS
  The results of the CMEDF are very promising. However, a much larger patient series from multicenter studies is still required for drawing up a final conclusion.
  
  
  METHODS
  1.
authors.affiliation: From the Faculty of Medicine, Cairo University, Abd Elaziz Alseoud, Manial-Roda, Cairo, Egypt.
authors.forename: Hesham Magdi
authors.initials: HM
authors.lastname: Soliman
mesh_terms: D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D002574:Cervical Vertebrae / Q000601:surgery*; D017586:Diskectomy / Q000009:adverse effects / Q000379:methods*; D004311:Double-Blind Method; D004724:Endoscopy; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011843:Radiculopathy / Q000601:surgery; D013118:Spinal Cord Diseases / Q000601:surgery; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome
chemical_list: D000700:Analgesics