NI SPECIAL FEATURE: OPERATIVE NUANCES: STEP BY STEP (VIDEO SECTION)
|Year : 2020 | Volume
| Issue : 6 | Page : 1310--1312
Endoscopic Anterior Cervical Discectomy (Disc Preserving)
Shailendra Ratre, Yad R Yadav, MN Swamy, Vijay Parihar, Jitin Bajaj
Department of Neurosurgery, Superspeciality Hospital, N.S.C.B. Medical College, Jabalpur, Madhya Pradesh, India
Background and Introduction: Endoscopic anterior cervical approach has several advantages compared to conventional anterior cervical discectomy and fusion (ACDF).
Objective: This video demonstrates a step-by-step procedure for endoscopic anterior cervical discectomy.
Procedure: The patient is placed supine with the neck extended. A standard anterior cervical approach using about 3 cm skin incision is made and under “Easy Go” (Karl Storz, Tuttlingen, Germany) endoscopic vision, the uncinate process and uncus are drilled. Only a small portion of the normal disc, posterior longitudinal ligament (PLL), and compressing disc is removed. The closure is done in a standard manner.
Results: In 240 patients, the average postoperative reduction in disc height, operating time, and blood loss were 1.1 ± 0.2 mm, 110 ± 17 min, and 30 ± 11 mL, respectively. The average postoperative VAS score and Nurick grading improved significantly. There were no permanent complications or any mortality.
Conclusion: Endoscopic technique is an effective and safe alternative to ACDF after attaining the learning curve.
Dr. Yad R Yadav
105, Nehru Nagar, Opposite Medical College, Jabalpur, Madhya Pradesh
|How to cite this article:|
Ratre S, Yadav YR, Swamy M N, Parihar V, Bajaj J. Endoscopic Anterior Cervical Discectomy (Disc Preserving).Neurol India 2020;68:1310-1312
|How to cite this URL:|
Ratre S, Yadav YR, Swamy M N, Parihar V, Bajaj J. Endoscopic Anterior Cervical Discectomy (Disc Preserving). Neurol India [serial online] 2020 [cited 2021 Feb 26 ];68:1310-1312
Available from: https://www.neurologyindia.com/article.asp?issn=0028-3886;year=2020;volume=68;issue=6;spage=1310;epage=1312;aulast=Ratre;type=0