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Technological advances during past decades determined the complexity of choice of the most effective method for treatment of cervical disc herniations. The idea of removing disc herniations using endoscope techniques is not new and is successfully utilized in treatment of lumbar disc herniations. But in case of cervical spine only fully endoscopic procedures are performed beginning at 2014 by Yang JS with coauthors and their effectiveness was and still is a questionable matter. 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. Material and method. 25 patients were included into this study with a comparing group of 25 patients operated by ordinary anterior cervical discectomy with a single disc fusion. All patients were operated with the same surgeon (the author). Results. During the analysis of VAS data (visual analog scale for objective measuring of pain syndrome intensity) 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. Also this study showed not only a high effectiveness of proposed method but being a safe and reliable way compared to traditional microsurgical anterior approaches. This new technology outperformed well-known methods in treatment of cervical disc herniations measuring hospital stay, patient social adaptation and rehabilitation rate. This method is a safe and reliable alternative to convenient surgical techniques.

CERVICAL ENDOSCOPIC DISC SURGERY: PRECISE APPROACH FOR MINIMALLY INVASIVE DECOMPRESSION