Türk Nöroşirürji Dergisi 2022 , Vol 32 , Num 3
Anterior Surgical Techniques in Radiculopathies Caused by Cervical Disc Herniation
Mehmet İlker ÖZER1,İlker SOLMAZ2
1Dr. Nafiz Körez Sincan Devlet Hastanesi Fatih Yerleşkesi Beyin ve Sinir Cerrahi Polikliniği, Ankara, Türkiye
2Özel A Life Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Ankara, Türkiye
Cervical spondylosis and disc herniations make up the most common group of diseases that affect the spinal cord and roots, and are most common in middle and advanced age. Anterior cervical approaches are less invasive than posterior approaches, as minimal damage is done to the muscle tissue. They also impair stability less. With the anterior approach, neurovascular structures can be relieved directly. The approach can be applied with or without fusion. With the fusion application, regression of osteophytes, preservation of the height of the disc distance, and expansion of the foramen can be achieved. There are many alternatives such as cages, autograft, and allografts as fusion material. With the developing imaging methods, these techniques are successfully applied by almost every neurosurgeon today. In this review, we discuss anterior cervical discectomy techniques in cervical disc herniations that cause radiculopathy, and the minimally invasive endoscopic discectomy technique that has become popular today. Anahtar Kelimeler : Cervical disc herniation, Anterior cervical discectomy, Fusion, Endoscopic