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NI SPECIAL FEATURE: OPERATIVE NUANCES: STEP BY STEP (VIDEO SECTION)
Year : 2020  |  Volume : 68  |  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

Correspondence Address:
Dr. Yad R Yadav
105, Nehru Nagar, Opposite 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.


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