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Anterior transvertebral herniotomy for cervical disk herniation
S Nakai1, H Yoshizawa, S Kobayashi
1Department of Orthopedic Surgery, Fujita Health University, School of Medicine, Tayoake City, Japan.
Journal of Spinal Disorders
|March 10, 2000
Summary
Anterior transvertebral herniotomy is effective for cervical disk herniation without spinal canal stenosis. This procedure is best indicated for large herniations with myelopathy or radiculopathy, though fusion may be needed.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Background:
- Cervical disk herniation is a common condition causing significant neurological deficits.
- Surgical intervention is often required for severe cases unresponsive to conservative treatment.
Purpose of the Study:
- To evaluate the efficacy and outcomes of anterior transvertebral herniotomy for cervical disk herniation.
- To determine the optimal patient selection criteria for this surgical approach.
Main Methods:
- A retrospective analysis of 24 patients who underwent anterior transvertebral herniotomy for cervical disk herniation.
- Patients were selected based on the absence of spinal canal stenosis.
Main Results:
- Good outcomes were achieved in most patients.
- Four patients (16.7%) required simultaneous or subsequent anterior intervertebral fusion.
- One patient (4%) experienced spontaneous fusion of adjacent vertebrae.
Conclusions:
- Anterior transvertebral herniotomy is a viable option for cervical disk herniation.
- The procedure is best indicated for large disk herniations presenting with myelopathy or radiculopathy but without spinal canal stenosis.