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Percutaneous (endoscopic) decompression discectomy for non-extruded cervical herniated nucleus pulposus
J C Chiu1, K K Hansraj, C Akiyama
1The California Center for Minimally Invasive Spine Surgery, Thousand Oaks, California, USA.
Surgical Technology International
|January 1, 1997
Summary
This historical review traces the evolution of treating cervical disc herniation, from early descriptions to modern surgical approaches. It highlights the shift from posterior laminectomy to anterior interbody fusion and subsequent discectomy without fusion.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Medical History
Background:
- Early reports in the 1800s documented cervical spine cord compression.
- Chondromas were frequently reported in the cervical spine during the late 19th and early 20th centuries.
- Cervical disc herniation was clinically described in 1928 and further documented in 1934.
Purpose of the Study:
- To provide a historical overview of the surgical management of cervical disc herniation.
- To outline the evolution of surgical techniques for cervical disc disease.
Main Methods:
- Historical literature review.
- Analysis of key publications and surgical developments in cervical spine surgery.
Main Results:
- Initial surgical approaches before 1950 involved posterior laminectomy for cervical disc issues.
- The 1950s saw the rise of the anterior approach with interbody fusion, popularized by several key surgeons.
- Later, discectomy without fusion was recommended, showing comparable outcomes.
Conclusions:
- Surgical treatment for cervical disc herniation has evolved significantly over time.
- The shift from posterior to anterior approaches, and later to discectomy without fusion, reflects advancements in spinal surgery.