Abstract

The study was designed to determine the indication of the Percutaneous cervical disc decompression (PCD) and choosing appropriate procedure and inform the surgeons about patient selection. Controversy remains in the treatment of cervical radicular as well as low back pain. Most of Surgical treatment options gave different morbidity and results. Open surgical techniques have high morbidity rates compared to minimal and less invasive options. Unless patient selection was not done properly in PEC, complication rates could be more than the open surgical techniques. Percutaneous endoscopic cervical interventions may have more reasonable results compared to lumbar interventional treatments. Advantages of the PEC are awaken anesthesia, easy approach and short operation time with high patient satisfaction. Any of percutenous applications are usefull to reduce intradiscal pressure, relieve pain. We simply divided PCD needle interventions and safe tube applications. Needle applications; consist of chemonucleosis and IDET. Laser, RF and automated disc decompresor could be performed by safe tube as weel as endoscopy. Peroperative discography is the most important diagnostic method to select the type of procedure. Selective endoscopic discectomy allows us to remove fragments and decompression. Appropriate indications were determined by MRI evaluation and correlation with clinical signs. Basically the surgical technique is not so complicated and learning curve is low. Our suggestion to surgeons to focus on aiming to herniation and to use navigation systems.