Advertisement

Posterior Microdiscectomy

  • Bastian StorzerEmail author
  • Heiko Koller
Chapter

Abstract

Patients with especially cervical lateral soft disc herniation profit a lot from a posterior microdiscectomy. When patient selection is good, the results are comparable to ACDF as well as the reoperation rate at the index level. Other advantages are missing of adverse events of the ventral access and an absent necessity for a device. But adjacent segment operation rate seems also to be comparable to ACDF so that the motion-preserving effect of posterior microdiscectomy might not prevent adjacent segment degeneration.

There are two ways for operation especially concerning the approach: classic midline or transmuscular. The transmuscular approach has less morbidity but is more difficult to learn.

In the literature, there are not many RCTs concerning posterior microdiscectomy so the level of evidence is not high.

Bibliography

  1. 1.
    Iyer S, Kim HJ. Cervical radiculopathy. Curr Rev Musculoskelet Med. 2016;9(3):272–80.CrossRefGoogle Scholar
  2. 2.
    Skovrlj B, Gologorsky Y, Haque R, Fessler RG, Qureshi SA. Complications, outcomes, and need for fusion after minimally invasive posterior cervical foraminotomy and microdiscectomy. Spine J. 2014;14(10):2405–11.CrossRefGoogle Scholar
  3. 3.
    Wang TY, Lubelski D, Abdullah KG, Steinmetz MP, Benzel EC, Mroz TE. Rates of anterior cervical discectomy and fusion after initial posterior cervical foraminotomy. Spine J. 2015;15(5):971–6.CrossRefGoogle Scholar
  4. 4.
    Liu WJ, Hu L, Chou PH, Wang JW, Kan WS. Comparison of anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of cervical radiculopathy: a systematic review. Orthop Surg. 2016;8(4):425–31.CrossRefGoogle Scholar
  5. 5.
    Gutman G, Rosenzweig DH, Golan JD. The surgical treatment of cervical radiculopathy: meta-analysis of randomized controlled trials. Spine (Phila Pa 1976). 2018;43(6):E365–72.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Center for Spine and Scoliosis SurgerySchoen Klinik Nuernberg-FuerthFuerthGermany
  2. 2.Akademisches Lehrkrankenhaus Paracelsus Medizinische Universität Salzburg (PMU)SalzburgAustria
  3. 3.Department of Neurosurgery, Klinikum rechts der IsarTechnische Universität MünchenMunichGermany

Personalised recommendations