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Updated: Sep 12, 2025

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

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Is a Microscope Necessary in Cervical Discectomy to Reduce Neurological Injury?: A Prospective Randomized Control

Mojtaba Khalili¹, Mahdi Arjipour¹, Mohamadali Seifrabiei²

¹Department of Neurosurgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Korean Journal of Neurotrauma

|August 8, 2025

Summary

Microscopic anterior cervical discectomy shows similar complication rates but improved quality of life compared to the macroscopic approach. However, microscopic surgery requires a longer operative time.

Keywords:

Complications Diskectomy Microscopy Treatment outcome

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Last Updated: Sep 12, 2025

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Area of Science:

Neurosurgery
Spinal Surgery

Background:

Anterior cervical discectomy is a common procedure for cervical spine pathologies.
Comparing surgical techniques is crucial for optimizing patient outcomes.

Purpose of the Study:

To compare the complications and outcomes of microscopic versus macroscopic anterior cervical discectomy.
To evaluate the impact of surgical approach on patient quality of life and recovery.

Main Methods:

A single-blind randomized clinical trial involving 47 patients undergoing anterior cervical discectomy and fusion.
Patients were allocated to either microscopic (n=23) or macroscopic (n=24) surgical groups.
Outcomes assessed included complications, bleeding, analgesic use, hospitalization, quality of life (SF-12), and return to daily activities.

Main Results:

No significant differences in complications or neurological deficits were observed between the microscopic and macroscopic groups.
The microscopic group demonstrated a significantly greater improvement in quality of life post-surgery (p<0.001).
Surgical duration was longer in the microscopic group (75.86±9.78 min) compared to the macroscopic group (57.12±2.81 min; p<0.001).

Conclusions:

Microscopic anterior cervical discectomy does not increase neurological deficits or complications compared to the macroscopic method.
The microscopic approach may enhance short-term quality of life for patients.
Increased surgical time is a trade-off for potential quality of life benefits with the microscopic technique.