Experiences With the Antero-medial Microsurgical Cervical Osteophyte Removal Without Interbody Fusion

  • L. Husag
  • Ch. Probst


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 [10]. 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.


Cervical Spine Nerve Root Anterior Approach Interbody Fusion Cervical Disc 
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  1. 1.
    Dunkser SB (1977) Anterior cervical discectomy with and without fusion. Clin Neurosurg 24: 516–521Google Scholar
  2. 2.
    Hankinson HL, Wilson CB (1975) Use of the operating microscope in anterior cervical disectomy without fusion. J Neurosurg 43: 452–456PubMedCrossRefGoogle Scholar
  3. 3.
    Hirsch C (1960) Cervical disc rupture. Acta Orthop Scand 30: 172–186Google Scholar
  4. 4.
    Husag L, Probst Ch (1981) Anterolaterale cervikale mikrochirurgische Discectomie. Schweiz Arch Neurol Neurochir Psychiatr 129: 47–59PubMedGoogle Scholar
  5. 5.
    Husag L, Probst Ch (1984) Microsurgical anterior approach to cervical discs. Review of 60 consecutive cases of discectomy without fusion. Acta Neurochir (Wien) 73: 229–242CrossRefGoogle Scholar
  6. 6.
    Kosary IZ, Braham J, Shacked I, Shacked R (1976) Microsurgery in anterior approach to cervical discs. Surg Neurol 6: 275–277PubMedGoogle Scholar
  7. 7.
    Lunsford D, Bissonette DJ, Jannetta PJ, Sheptak P, Zorub DS (1980) Anterior surgery for cervical disc disease. Part I and II. J Neurosurg 53: 1–19PubMedCrossRefGoogle Scholar
  8. 8.
    Martins AN (1976) Anterior cervical discectomy with and without interbody bone graft. J Neurosurg 44: 290–295PubMedCrossRefGoogle Scholar
  9. 9.
    Murphy MD, Gado M (1972) Anterior cervical discectomy without interbody bone graft. J Neurosurg 37: 71–74PubMedCrossRefGoogle Scholar
  10. 10.
    Raynor RB (1983) Anterior or posterior approach to the cervical spine: An anatomical and radiographic evaluation and comparison. Neurosurgery 12: 713Google Scholar
  11. 11.
    Robertson JT (1979) Anterior cervical discectomy without fusion: Long time results. Clin Neurosurg 27: 440–449Google Scholar
  12. 12.
    Spetzler RF (1982) The microscope in anterior cervical spine surgery. Clin Orthop 168: 17–23PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • L. Husag
    • 1
  • Ch. Probst
    • 1
  1. 1.AarauSwitzerland

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