Cervical Discectomy Spine Treatment in India

1
Minimally Invasive Cervical Discectomy Spine
Treatment in India
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Cervical Discectomy
Cervical discectomy is surgery to remove one or
more discs from the neck. The disc is the pad
that separates the neck vertebrae ectomy means
to take out. Usually a discectomy is combined
with a fusion of the two vertebrae that are
separated by the disc. In some cases, this
procedure is done without a fusion. A cervical
discectomy without a fusion may be suggested for
younger patients between 20 and 45 years old who
have symptoms due to a herniated disc.
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Different Approaches to treat Cervical Discectomy
Spine Problem -
Anterior Approach The patient is made to lie
down on his back under general anesthesia. A
horizontal incision is made just 2 inches above
the clavicle on either left or right side. The
thin muscle layer is cut and the trachea and
esophagus are shifted to one side along with the
nerves and vessels. The surgeon has a clear view
of the cervical vertebrae. An X-ray is done to
confirm the involved disc. An operating
microscope can also be used to get a better
picture of the operating field. The anterior
longitudinal ligament is gently removed to reach
the osteophytes and the disc fragments. The
osteophytes are scraped off and the
intervertebral disc is dissected.Once the disc is
removed the vertebral bodies are gently
distracted to their original distance to fill the
space with bone graft. This helps to relieve the
compression from the nerves as the diameter of
the intervertebral foramen is enlarged.
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Posterior Approach The patient is sedated under
general anaesthesia and made to lie on his
abdomen. The neck is slightly bent and head is
supported on the head rest. An incision is made
on the back of the neck in the midline. The skin,
fascia and muscles are retraced to reach the
vertebrae. An X-ray is done to confirm the level
of affected disc. Edges of the lamina are shaved
off to give a clearer vision. Incase of central
herniation, both lamina may have to be removed in
order to get full view of the fragmented disc.
The posterior longitudinal ligament is incised
and a small hole is made in the ligamentum
flavum. The surgeon now uses a surgical
microscope to magnify the operating area and the
disc fragments and bony spurs are carefully
removed. The muscles fascia and skin are stitched
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Minimally invasive cervical disc replacement
surgery
Minimally invasive cervical disc replacement
surgery entails inserting an artificial cervical
disc between two cervical vertebrae after the
inter- vertebral disc has been surgically removed
in the process of decompressing the spinal cord
or a nerve root. The intent of the device is to
preserve motion at the disc space. It is an
alternative to the use of bone grafts, plates and
screws in pursuit of a fusion following
procedures such a disc removal, which necessarily
eliminates motion at the operated disc space in
the neck. Cervical disc replacement surgery is
most typically done for patients with cervical
disc herniations that have not responded to
non-surgical treatment options and are
significantly affecting the individuals' quality
of life and ability to function.
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The advantages of Minimally invasive cervical
disc replacement surgery

• Maintaining normal neck motion
• Reducing degeneration of adjacent segments of the
  cervical spine
• Eliminating the need for a bone graft
• Early postoperative neck motion
• Faster return to normal activity
• Postoperative neck braces are not required for
  disc replacement operations.

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