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.
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.
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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.
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
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.
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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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