Сervical microdiscectomy: method and surgical strategy
Objective. To implement the interlaminar lateral approach for extraction of herniated discs (HD) in the cervical spine.Materials and methods. During 2012–2015 in Regional psychoneurological hospital 56 patients with cervical HD were operated. There were 22 females, 36 males among them. Di...
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| Format: | Article |
| Language: | English |
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Romodanov Neurosurgery Institute
2016-12-01
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| Series: | Ukrainian Neurosurgical Journal |
| Online Access: | https://theunj.org/article/view/86579 |
| _version_ | 1827376060972400640 |
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| author | Valeriy Olkhov Kostyantyn Horbatyuk Oleksiy Stoliarenko |
| author_facet | Valeriy Olkhov Kostyantyn Horbatyuk Oleksiy Stoliarenko |
| author_sort | Valeriy Olkhov |
| collection | DOAJ |
| description |
Objective. To implement the interlaminar lateral approach for extraction of herniated discs (HD) in the cervical spine.Materials and methods. During 2012–2015 in Regional psychoneurological hospital 56 patients with cervical HD were operated. There were 22 females, 36 males among them. Disc herniation at the CV–CVI level occurred in 21 cases, CVI–CVII in 20 cases. The main disease signs were cervicalgia, monoradiculopathy. Fifty patients with medial hernia were operated using anterior cervical microscopic discectomy approach to HP extraction and intervertebral cage implantation (PEEK material). Six patients with lateral hernia were operated using posterior interlaminar cervical microdiscectomy. Anterior approach was performed by a standard method using CODMAN retractor, high-speed drill Stryker TPS. The posterior interlaminar approach was performed using paramedian incision 3 cm, intermuscular approach to the posterior lateral mass and arch on the affected side with Medtronic Metrix system followed by interlaminectomy performed by high-speed drill not more than 1 cm that was rather enough for hernia extraction from under nerve root.Results. In all cases we managed to achieve the regression of radicular and cervicalgia syndromes. No complications were fixed during both surgical approaches. There was no difference observed in duration of surgical intervention using both methods, which was about (64±12) min. All patients were verticalized and activated in 3–4 hours after surgery.Conclusion. Cervical microdiscectomy is a standard method for cervical HD surgery. The posterior interlaminar approach is an effective method used for lateral herniations, especially sequestered ones. It promotes the preservation of intervertebral disc and reduction of the total cost of surgery due to no necessity to use the implants-prosthesis. We suppose the posterior cervical microdiscectomy of lateral, sequestered intervertebral disc herniations in cervical spine to become a standard method of treatment. |
| first_indexed | 2024-03-08T12:03:59Z |
| format | Article |
| id | doaj.art-bd7c325020824427aa3713d8b7af4e2b |
| institution | Directory Open Access Journal |
| issn | 2663-9084 2663-9092 |
| language | English |
| last_indexed | 2024-03-08T12:03:59Z |
| publishDate | 2016-12-01 |
| publisher | Romodanov Neurosurgery Institute |
| record_format | Article |
| series | Ukrainian Neurosurgical Journal |
| spelling | doaj.art-bd7c325020824427aa3713d8b7af4e2b2024-01-23T13:31:36ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922016-12-014333810.25305/unj.86579Сervical microdiscectomy: method and surgical strategyValeriy Olkhov0Kostyantyn Horbatyuk1Oleksiy Stoliarenko2Vinnytsa Regional Psychoneurological Hospital, Vinnytsa, UkraineVinnytsa Regional Psychoneurological Hospital, Vinnytsa, UkraineVinnytsa Regional Psychoneurological Hospital, Vinnytsa, Ukraine Objective. To implement the interlaminar lateral approach for extraction of herniated discs (HD) in the cervical spine.Materials and methods. During 2012–2015 in Regional psychoneurological hospital 56 patients with cervical HD were operated. There were 22 females, 36 males among them. Disc herniation at the CV–CVI level occurred in 21 cases, CVI–CVII in 20 cases. The main disease signs were cervicalgia, monoradiculopathy. Fifty patients with medial hernia were operated using anterior cervical microscopic discectomy approach to HP extraction and intervertebral cage implantation (PEEK material). Six patients with lateral hernia were operated using posterior interlaminar cervical microdiscectomy. Anterior approach was performed by a standard method using CODMAN retractor, high-speed drill Stryker TPS. The posterior interlaminar approach was performed using paramedian incision 3 cm, intermuscular approach to the posterior lateral mass and arch on the affected side with Medtronic Metrix system followed by interlaminectomy performed by high-speed drill not more than 1 cm that was rather enough for hernia extraction from under nerve root.Results. In all cases we managed to achieve the regression of radicular and cervicalgia syndromes. No complications were fixed during both surgical approaches. There was no difference observed in duration of surgical intervention using both methods, which was about (64±12) min. All patients were verticalized and activated in 3–4 hours after surgery.Conclusion. Cervical microdiscectomy is a standard method for cervical HD surgery. The posterior interlaminar approach is an effective method used for lateral herniations, especially sequestered ones. It promotes the preservation of intervertebral disc and reduction of the total cost of surgery due to no necessity to use the implants-prosthesis. We suppose the posterior cervical microdiscectomy of lateral, sequestered intervertebral disc herniations in cervical spine to become a standard method of treatment.https://theunj.org/article/view/86579 |
| spellingShingle | Valeriy Olkhov Kostyantyn Horbatyuk Oleksiy Stoliarenko Сervical microdiscectomy: method and surgical strategy Ukrainian Neurosurgical Journal |
| title | Сervical microdiscectomy: method and surgical strategy |
| title_full | Сervical microdiscectomy: method and surgical strategy |
| title_fullStr | Сervical microdiscectomy: method and surgical strategy |
| title_full_unstemmed | Сervical microdiscectomy: method and surgical strategy |
| title_short | Сervical microdiscectomy: method and surgical strategy |
| title_sort | сervical microdiscectomy method and surgical strategy |
| url | https://theunj.org/article/view/86579 |
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