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[The microsurgical anterior approach for total cervical disc replacement]
H Michael Mayer1, Christoph Siepe, Andreas Korge
1Wirbelsäulenzentrum, Orthopädische Klinik München - Harlaching, München, Germany. MMayer@schoen-kliniken.de
Operative Orthopadie Und Traumatologie
|December 15, 2010
Summary
This study details a minimally invasive anterior cervical spine surgical technique for total disc replacement, offering a safe and effective approach for specific spinal conditions with low complication rates.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Surgery
Context:
- The anterior cervical spine (C3-C7) is a common site for degenerative disc disease and herniations.
- Minimally invasive techniques are increasingly preferred for spinal procedures to reduce morbidity.
Purpose:
- To describe a microsurgical anterior approach for mono- or bisegmental total disc replacement in the cervical spine (C3-C7).
- To outline indications, contraindications, surgical technique, and postoperative management for this procedure.
Summary:
- The technique involves a small incision and blunt dissection to access the anterior cervical disc space.
- Indications include soft/hard disc herniations and erosive osteochondrosis; contraindications involve significant spinal collapse or myelopathy.
- Postoperative management includes early mobilization and a short period of collar use.
Impact:
- Demonstrates a safe and reliable anterior approach with low peri- and postoperative complication rates.
- Highlights the suitability of this technique for younger patients with specific cervical spine pathologies.
- Contributes to the advancement of minimally invasive spinal surgery techniques.
