Evaluation of clinical and radiological outcome of disk preserving functional cervical disk surgery

Authors : Santosh J Mangshetty, Santosh J Mangshetty, Abhinandan Gangannavar, Abhinandan Gangannavar, Satish Rudrappa, Satish Rudrappa, Swaroop Gopal, Swaroop Gopal

DOI : 10.18231/j.ijn.2019.031

Volume : 5

Issue : 4

Year : 2019

Page No : 195-198

Introduction: Cervical radiculopathy is a neurological disfunction wherein a nerve root in the cervical
spine becomes inflamed with disc herniation and uncovertebral osteophytes accounting for the majority
of cases. The standard surgical treatment for this cervical radiculopathy till now is posterior lamino
foraminotomy and anterior discectomy with or without fusion. This study describe the outcome of a
minimally invasive anterior cervical disc preserving technique of upper vertebral transcorporeal anterior
microforaminotomy to treat cervical radiculopathy Cervical.
Objective: To Evaluate the clinical and radiological outcome of disk preserving functional cervical disk
surgery.
Material and Methods: This is a prospective non randomised hospital based study. The study population
included 11 patients operated for cervical radiculopathy with the new technique at the department of
Neurosurgery, Manipal Hospital, Bangalore during July 2007 to June 2010. The patients were followed
up from 8 to 30 months with a mean follow up of 17 months for clinical and radiological outcome.
Results: The mean age of the patient was 40.099.71 years. The majority of the patients (five) were in
31-40 age groups. Male patients (63.6%) were more as compared to females. All patients in this study
had neck pain, radicular pain and weakness. Clinical symptoms were between 1 to 3months. The mean
preoperative visual analogue scale score was 8.55 and postoperative score was 1.18. The VAS score reduced
significantly postoperatively and it was statistically significant. There was no significant reduction in the
disc height postoperatively.
Conclusion: The Disk preserving functional cervical disk surgery is a minimal invasive procedure with the
least complications and adequate motion at the operated site.

Keywords: Cervical Disk Surgery, Cervical radiculopathy, Disk preserving, Disk Herniation


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