| NI SPECIAL FEATURE: OPERATIVE NUANCES: STEP BY STEP (VIDEO SECTION) |
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| Year : 2020 | Volume
: 68
| Issue : 6 | Page : 1310--1312 |
Endoscopic Anterior Cervical Discectomy (Disc Preserving)
Shailendra Ratre, Yad R Yadav, MN Swamy, Vijay Parihar, Jitin Bajaj
Department of Neurosurgery, Superspeciality Hospital, N.S.C.B. Medical College, Jabalpur, Madhya Pradesh, India
Correspondence Address:
Dr. Yad R Yadav
105, Nehru Nagar, Opposite Medical College, Jabalpur, Madhya Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.304078
Background and Introduction: Endoscopic anterior cervical approach has several advantages compared to conventional anterior cervical discectomy and fusion (ACDF).
Objective: This video demonstrates a step-by-step procedure for endoscopic anterior cervical discectomy.
Procedure: The patient is placed supine with the neck extended. A standard anterior cervical approach using about 3 cm skin incision is made and under “Easy Go” (Karl Storz, Tuttlingen, Germany) endoscopic vision, the uncinate process and uncus are drilled. Only a small portion of the normal disc, posterior longitudinal ligament (PLL), and compressing disc is removed. The closure is done in a standard manner.
Results: In 240 patients, the average postoperative reduction in disc height, operating time, and blood loss were 1.1 ± 0.2 mm, 110 ± 17 min, and 30 ± 11 mL, respectively. The average postoperative VAS score and Nurick grading improved significantly. There were no permanent complications or any mortality.
Conclusion: Endoscopic technique is an effective and safe alternative to ACDF after attaining the learning curve.
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