Anterior Cervical Discectomy is a
procedure used by spine surgeons to remove a herniated (ruptured) disc. The
cervical portion of the spine is comprised of the 7 vertebrae C1 through C7.
The standard discectomy and fusion requires an open surgery transverse or
longitudinal incision and invasive intervention to remove the diseased disc
and put in a graft. Today, however, the disc or discs can be removed
utilizing a minimally invasive approach not requiring fusion. The benefits
include lower costs to both the insurance companies and the patient. This is
accomplished with decreased operative and recovery times, small skin
incision and the capability to perform the procedure in an outpatient
surgical setting rather than a hospital. Most patients are on there way home
feeling better in just a few hours after surgery.
Only minimally-invasive trained spine
surgeons should attempt this type of surgery and currently there are not
many surgeons worldwide trained to do so. The technology is here but many
surgeons are still using traditional, open procedures. Specialized
instrumentation for minimally-invasive approaches have been designed for
removing herniated discs through small incisions. The surgeon is guided by
watching monitors which allows for directing the instrumentation into the
disc and then visualizing the inside of the disc. Then the disc can be
removed and the supporting structures "tightened" with the laser. The
practice of minimally-invasive spine surgery and has allowed the
transformation from traditional open surgeries to the less invasive
procedures today.
The success of minimally invasive
cervical discectomy is equal to, or greater than, traditional open surgery
even with fusion. We do not advocate fusion for all cases and carefully
select our patients for the minimally-invasive approach without fusion.
Certainly, if we can avoid fusion, which adds risk to the surgery, we do -
if the discectomy is not sufficient then a standard operation can always
be done. Please view our Anterior Cervical Discectomy video by
clicking on the appropriate file size to the left. The largest file
size has the best quality. The video files are in Apple QuickTime and
if you don't have the player, you may download it after clicking on the file
link.
Anterior Cervical Discectomy Physicians
The physicians listed here are among the small group of spine surgeons in the
world who perform minimally-invasive anterior cervical discectomy surgery.
John
C. Chiu, MD
Neurospine Surgeon California Spine Institute
California Center for
Minimally
Invasive Surgery
Newbury Park, CA
Stanton
Schiffer, MD
Neurosurgeon Western Neurosurgical Clinic
San Francisco Bay Area, CA
Each spine surgeon participates in training, wishing to increase their
surgical and technological skills and bring their practices to patients in
need.
Merrill
W. Reuter, MD, PhD, FACS
Orthopaedic Spine Surgeon Advanced Orthopaedics
Lake Worth, FL
Thomas
Hoogland, MD
Orthopaedic Spine Surgeon Alpha-Klinik
Munich, Germany
If you would like to contact one of the physicians listed here please click
on the button below to fill out a short form that will be sent to the
physician of your choice.
Eugene G. Pedachenko,
MD, PhD
Neurosurgeon Institute of Neurosurgery
Kiev, Ukraine