{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:08:18Z","timestamp":1790892498346,"version":"4.1.0"},"reference-count":31,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To the authors\u2019 knowledge, posterior percutaneous full-endoscopic cervical discectomy (PPFECD) has not been reported before as a procedure performed with patients under local anesthesia (LA). In this study, the authors report the outcomes of 25 patients treated by this technique, the surgical steps, and the procedure\u2019s potential advantages.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Twenty-five patients diagnosed with cervical radiculopathy due to soft-disc herniation (SDH) were treated by PPFECD. The intensities of arm and neck pain were measured using the visual analog scale (VAS) and the functional status was assessed using the Neck Disability Index (NDI) preoperatively and at 1, 3, 6, and 12 months postoperatively. Global outcome was also assessed using modified Macnab criteria, and outcomes were grouped as clinical success (excellent or good) and clinical failure (fair or poor). Complications were also recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>No patient was lost to the follow-up. Significant and durable pain relief and cervical functional improvement were achieved postoperatively. Clinical success was achieved in 24 patients (96%), including 22 excellent and 2 good outcomes at the last follow-up. No serious complications occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The authors\u2019 preliminary experience indicates that PPFECD under LA is a feasible and promising alternative for selected cases of cervical radiculopathy due to SDH, though the procedure\u2019s effectiveness and safety still need confirmation from further studies.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2018.1.spine17795","type":"journal-article","created":{"date-parts":[[2018,6,29]],"date-time":"2018-06-29T14:02:21Z","timestamp":1530280941000},"page":"351-357","source":"Crossref","is-referenced-by-count":34,"title":["Posterior percutaneous full-endoscopic cervical discectomy under local anesthesia for cervical radiculopathy due to soft-disc herniation: a preliminary clinical study"],"prefix":"10.3171","volume":"29","author":[{"given":"Quan","family":"Wan","sequence":"first","affiliation":[{"name":"Department of Pain, Zhejiang Provincial People\u2019s Hospital, Hangzhou, Zhejiang;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pain, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pain, Zhejiang Provincial People\u2019s Hospital, Hangzhou, Zhejiang;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenlong","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pain, Zhejiang Provincial People\u2019s Hospital, Hangzhou, Zhejiang;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, The Affiliated Hospital of School of Medicine of Ningbo University, Ningbo, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongwei","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Pain, Zhejiang Provincial People\u2019s Hospital, Hangzhou, Zhejiang;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Ru","sequence":"additional","affiliation":[{"name":"Department of Pain, Zhejiang Provincial People\u2019s Hospital, Hangzhou, Zhejiang;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjun","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Pain, Zhejiang Provincial People\u2019s Hospital, Hangzhou, Zhejiang;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1007\/s00234-005-1436-y","article-title":"Percutaneous endoscopic cervical discectomy for discogenic cervical headache due to soft disc herniation","volume":"47","author":"Ahn Y","year":"2005","unstructured":"Ahn Y, Lee SH, Chung SE, Park HS, Shin SW: Percutaneous endoscopic cervical discectomy for discogenic cervical headache due to soft disc herniation. 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