Anterior cervical discectomy without fusion. Microsurgical technique

Area of Science:

• Neurosurgery
• Orthopedic Surgery

Background:

• Cervical disc herniation is a common condition requiring surgical intervention.
• Anterior cervical discectomy is a standard surgical procedure for treating this condition.

Purpose of the Study:

• To evaluate the outcomes of anterior cervical discectomy without fusion for cervical disc herniation.
• To define patient selection criteria and optimal surgical levels for the procedure.

Main Methods:

• A retrospective review of 25 patients who underwent anterior cervical discectomy between March 1977 and November 1980.
• The procedure was performed using an operating microscope, with 11 patients undergoing two-level discectomies.
• Patient selection and surgical level determination were key considerations.

Main Results:

• Excellent outcomes were achieved with discectomy alone, without the need for fusion.
• Fusion was performed only in cases with severe spondylosis or posttraumatic instability.

Conclusions:

• Anterior cervical discectomy without fusion is a highly effective treatment for cervical disc herniation.
• Fusion should be reserved for specific complex cases involving severe spondylosis or instability.