Posterior cervical discectomy: An optimally invasive approach to laterally prolapsed cervical disc

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Original Article

Author Details : Shashank Sah, Suresh Kumar Kaushik, Neeraj Prajapati

Volume : 2, Issue : 4, Year : 2016

Article Page : 93-96

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Abstract

Aim: Posterior cervical discectomy is one of the surgical techniques for management of laterally prolapsed cervical disc causing cervical radiculopathy. This method has remained under-utilized in comparison to the classic technique of Anterior Cervical Discectomy and Fusion (ACDF). The study was conducted to evaluate it’s feasibility in terms of ease, challenges and short term outcome.
Material and Methods: This is a prospective study conducted over a period of 65 months. Patients visiting to neurosurgery/ orthopedics OPD’s with cervical disc diseases and requiring surgery, were further evaluated on the basis of selection criteria for the feasibility of posterior cervical discectomy. Patients meeting the selection criteria were then operated upon by this approach and the outcome was evaluated.
Results: Posterior cervical discectomy is essentially a disc conserving, optimally invasive microscopic technique - best suited for selected subset of patients with laterally prolapsed disc causing radiculopathy. 21 out of 23 patients appreciated the surgical benefit by as early as 48 hours of operation. There were no complications.
Conclusion: Posterior cervical discectomy is an excellent direct approach to the diseased segment provided case selection criteria are properly followed.

Keywords: Cervical disc, Posterior cervical discectomy, Lamino-foraminotomy, Motion preserving cervical disc surgery

How to cite : Sah S, Kaushik S K, Prajapati N, Posterior cervical discectomy: An optimally invasive approach to laterally prolapsed cervical disc. IP Indian J Neurosci 2016;2(4):93-96

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