Anterior Discectomy Without Fusion for Treatment of Cervical Degenerative Disc Disease

Twelve Years Experience Based on 450 Consecutive Cases
  • H. Bertalanffy
  • H. R. Eggert
Conference paper


Several operative procedures for treatment of degenerative disc disease are currently available. A review of the pertinent literature reveals that apart from a few differences, the operative results are equivalent.


Interbody Fusion Degenerative Disc Disease Cervical Disc Cervical Spondylotic Myelopathy Cervical Myelopathy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bertalanffy H, Eggert H-R (1988) Clinical long-term results of anterior discectomy without fusion for treatment of cervical radiculopathy and myelopathy. A follow-up of 164 cases. Acta Neurochir (Wien) 90: 127–135CrossRefGoogle Scholar
  2. 2.
    Cloward RB (1962) New method of diagnosis and treatment of cervical disc disease. Clin Neurosurg 8: 93–132PubMedGoogle Scholar
  3. 3.
    Crandall PH, Batzdorf U (1966) Cervical spondylotic myelopathy. J Neurosurg 25: 57–66PubMedCrossRefGoogle Scholar
  4. 4.
    Cuatico W (1981) Anterior cervical discectomy without interbody fusion. An analysis of 81 cases. Acta Neurochir (Wien) 57: 269–274CrossRefGoogle Scholar
  5. 5.
    Dunsker SB (1976) Anterior cervical discectomy with and without fusion. Clin Neurosurg 24: 516–521Google Scholar
  6. 6.
    Epstein JA, Carras R, Lavine LS, Epstein BS (1969) The importance of removing osteophytes as part of the surgical treatment of myeloradiculopathy in cervical spondylosis. J Neurosurg 30: 219–226PubMedCrossRefGoogle Scholar
  7. 7.
    Eager CA (1973) Results of adequate posterior decompression in the relief of spondylotic cervical myelopathy. J Neurosurg 38: 684–692CrossRefGoogle Scholar
  8. 8.
    Gregorius FK, Estrin T, Crandall PH (1976) Cervical spondylotic radiculopathy and myelopathy. A long-term follow-up study. Arch Neurol 33: 618–625Google Scholar
  9. 9.
    Gros C, Privat JM, Safdari H (1984) Exérèse discale sans greffe dans le traitement des cervico-brachialgies. Acta Orthop Belg 50 (1): 33–38PubMedGoogle Scholar
  10. 10.
    Guidetti B, Fortuna A (1969) Long-term results of surgical treatment of myelopathy due to cervical spondylosis. J Neurosurg 30: 714–721PubMedCrossRefGoogle Scholar
  11. 11.
    Hankinson HL, Wilson CB (1975) Use of the operating microscope in anterior cervical discectomy without fusion. J Neurosurg 43: 452–456PubMedCrossRefGoogle Scholar
  12. 12.
    Henderson CM, Hennessy RG, Shuey HM, Shackelford EG (1983) Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy: A review of 846 consecutively operated cases. Neurosurg 13: 504–512CrossRefGoogle Scholar
  13. 13.
    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
  14. 14.
    Jomin M, Lesoin F, Lozes G, Thomas III CE, Rousseaux M, Clarisse J (1986) Herniated cervical discs. Analysis of a series of 230 cases. Acta Neurochir (Wien) 79: 107–113CrossRefGoogle Scholar
  15. 15.
    Lunsford LD, Bissonette DJ, Jannetta PJ, Sheptak PE, Zorub DS (1980) Anterior surgery for cervical disc disease. Part 1: treatment of lateral cervical disc herniation in 253 cases. J Neurosurg 53: 1–11PubMedCrossRefGoogle Scholar
  16. 16.
    Lunsford LD, Bissonette DJ, Zorub DS (1980) Anterior surgery for cervical disc disease. Part 2: Treatment of cervical spondylotic myelopathy in 32 cases. J Neurosurg 53: 12–19PubMedCrossRefGoogle Scholar
  17. 17.
    Mayfield FH (1966) Cervical spondylosis: a comparison of the anterior and posterior approaches. Clin Neurosurg 13: 181–188Google Scholar
  18. 18.
    Martins AN (1976) Anterior cervical discectomy with and without interbody bone graft. J Neurosurg 44: 290–295PubMedCrossRefGoogle Scholar
  19. 19.
    Murphy MG, Gado M (1972) Anterior cervical discectomy without interbody bone graft. J Neurosurg 37: 71–74PubMedCrossRefGoogle Scholar
  20. 20.
    O’Laoire SA, Thomas DGT (1983) Spinal cord compression due to prolapse of cervical intervertebral disc (herniation of nucleus pulposus). J Neurosurg 59: 847–853PubMedCrossRefGoogle Scholar
  21. 21.
    Robertson JT, Johnson SD (1980) Anterior cervical discectomy without fusion: long-term results. Clin Neurosurg 27: 440–449PubMedGoogle Scholar
  22. 22.
    Robertson JT (1978) Anterior operations for herniated cervical disc and for myelopathy. Clin Neurosurg 25: 245–250PubMedGoogle Scholar
  23. 23.
    Roosen K, Grote W (1980) Late results of operative treatment of cervical myelopathy. In: Grote W, Brock M, Ciar HE, Klinger M, Nau HE (eds) Advances in neurosurgery, vol 8. Springer, Berlin Heidelberg New York, pp 69–77Google Scholar
  24. 24.
    Scoville WB, Dohrmann GJ, Corkill G (1976) Late results of cervical disc surgery. J Neurosurg 45: 203–210PubMedCrossRefGoogle Scholar
  25. 25.
    Seeger W (1982) Microsurgery of the spinal cord and surrounding structures. Springer, Wien New YorkGoogle Scholar
  26. 26.
    Smith GW, Robinson RA (1958) The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion. J Bone Joint Surg 40-A: 607–624Google Scholar
  27. 27.
    Tribolet N de, Zander E (1981) Anterior discectomy without fusion for the treatment of ruptured cervical discs. J Neurosurg Sci 25: 217–220PubMedGoogle Scholar
  28. 28.
    White AA, Southwick WO, DePonte RJ (1973) Relief of pain by anterior cervical spine fusion for spondylosis. J Bone Joint Surg 55-A: 525–534Google Scholar
  29. 29.
    Williams JL, Marshall BA, Harkess JW (1968) Late results of cervical discectomy and interbody fusion: some factors influencing the results. J Bone Joint Surg 50-A: 277–286Google Scholar
  30. 30.
    Wilson DH, Campbell DD (1977) Anterior cervical discectomy without bone graft. J Neurosurg 47: 551–555PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • H. Bertalanffy
    • 1
  • H. R. Eggert
    • 1
  1. 1.Freiburg i. Br.Federal Republic of Germany

Personalised recommendations