ИСТИНА

Nowadays the problem of choice of the most efficient method in treatment of cervical disc herniations is of most actual and debated problems. The idea of removing disc herniations using endoscope techniques is not new and is successfully utilised in treatment of lumbar disc herniations. But in case of cervical spine only fully endoscopic procedures are performed from 2014 by Yang JS with coauthors and their effectiveness is a questionable matter. Material and method. The proposed method of endoscopic portal disc herniation removal was used during past 2 years and it's results were compared with anterior microsurgical approach using a single level cage implantation. 25 patients were included into this study with a comparing group of 25 patients operated using anterior approach with fusion. Results. Using VAS scale it was confirmed that the degree of local and radicular pain in two groups was not significantly different (р > 0,05). According to Neck Disability Index (NDI) there was a significant difference between two groups with respect to endoscopic patient group. Data using Odom criteria showed a significantly better results in endoscopic group. During the research it was realized that patients in endoscopically operated group were faster discharged from hospital in 3 [2; 5] compared to 5 [4; 6] days in microsurgical group. Conclusion. Thus using a newly proposed technology of portal endoscopic treatment of cervical disc herniations showed to be a more efficient method and makes it possible to gain clinical result with significantly lesser operation trauma.