Experiences With the Antero-medial Microsurgical Cervical Osteophyte Removal Without Interbody Fusion
The experiences of the last 25 years have shown that cervical disc disease may be adequately treated by anterior removal of disc or osteophyte without the need of formal interbody fusion. Omitting the bone graft which is not essential to the success of this operation, simplifies the procedure and eliminates graft related complications. This operation stresses a direct attack on the ventral osteophytes and provides the neural elements with immediate relief from pressure [1, 3, 7–9, 11]. On the other hand this method does not allow treatment of problems related to the size of the spinal canal and to the posterior elements. There is no ideal operation which can relieve the nerve roots and the spinal cord from pressure in all quadrants. The antero-medial microsurgery without interbody fusion is a surgical alternative for the treatment of spondylotic radiculomyelopathy. The lateral extent of the decompression is limited to 1–3 mm of nerve root in an anterior approach as compared to 3–5 mm exposure possible by facetectomy . The operating microscope compensates for the restricted space in the surgical field and makes sufficient decompression possible [2, 4–6, 12]. The purpose of this paper is to present the method we use and our experiences with 102 operated cases.
KeywordsCervical Spine Nerve Root Anterior Approach Interbody Fusion Cervical Disc
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