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Cervical Herniated Nucleus Pulposus and Stenosis

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Abstract

The purpose of this chapter is to assess the scientific rigor of the literature involving MIS approaches to the cervical spine, the overall quality of the reporting, indications for various procedures, complications associated with each approach, and the extent to which the outcomes can relate to clinical practice. Although the techniques and equipment were at first cumbersome, MIS procedures have become a reality with technological developments and our improved acquisition of skills. In this chapter we focus on minimally invasive cervical procedures. We organize the topic by approach (anterior and posterior), and for each route we evaluate the surgeries used to treat herniations and stenosis.

Disclosures

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.

One of the authors (PRP) is a clinical instructor for iO-Flex/Baxano and in the past was a consultant for LANX.

One of the authors (CL) is a clinical instructor for iO-Flex/Baxano and is a consultant of stock or equity in the following companies Alphatech, Amedica, Depuy Spine, Intrinsic Orthopedics, K2M, Medtronic-Kyphon, Pioneer, Orthocon, Paradigm, Replication Medical, Spinal Elements, Spinal Motions, Spinal Kinetics, and Spineology.

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Abbreviations

ACDF:

Anterior cervical discectomy and fusion

ADR:

Artificial disc replacement

AECD:

Anterior endoscopic cervical discectomy and fusion

MAST:

Minimal access spinal technique

MED:

Microendoscopic discectomy

MIS:

Minimally invasive surgery

OPLL:

Ossification of the posterior longitudinal ligament

PECD:

Percutaneous endoscopic cervical discectomy

PN:

Percutaneous nucleoplasty

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Correspondence to Carl Lauryssen MD .

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Pazmiño, P.R., Lauryssen, C. (2014). Cervical Herniated Nucleus Pulposus and Stenosis. In: Phillips, F., Lieberman, I., Polly, D. (eds) Minimally Invasive Spine Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5674-2_23

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  • DOI: https://doi.org/10.1007/978-1-4614-5674-2_23

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