Microsurgical anterior cervical disk removal without interbody infusion

Area of Science:

• Neurosurgery
• Spinal Surgery
• Orthopedic Surgery

Background:

• Spinal root syndromes and compressive myelopathy significantly impact patient quality of life.
• Effective surgical interventions are crucial for managing these debilitating spinal conditions.

Purpose of the Study:

• To evaluate the efficacy of a modified Cloward technique for treating spinal root syndromes and compressive myelopathy.
• To assess surgical outcomes, including pain relief and spinal fusion rates.

Main Methods:

• A modified Cloward technique was employed in 57 patients without bone grafts.
• Patients were followed for 6 months to 5 years post-surgery.
• Outcomes for radiculopathy and myelopathy were documented, alongside intervertebral fusion rates.

Main Results:

• Of 47 patients with radiculopathy, 44 were cured, and 3 reported minor residual arm pain.
• For 10 patients with myelopathy, 3 showed great improvement, 5 slight improvement, and 2 remained unchanged.
• 100% of cases achieved immobilization of the operated interspace within one year.

Conclusions:

• The modified Cloward technique offers a viable surgical option for spinal root syndromes and compressive myelopathy.
• The procedure demonstrates high rates of clinical improvement and successful intervertebral fusion.
• Further discussion of the surgical technique is warranted based on these positive outcomes.