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Anterior cervical discectomy and fusion (ACDF) is a surgical procedure to treat nerve root or spinal cord compression by decompressing the spinal cord and nerve roots of the cervical spine with a discectomy, followed by inter-vertebral fusion to stabilize the corresponding vertebrae. [1]
A discectomy (also called open discectomy, if done through a 1/2 inch or larger skin opening) is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord. The procedure involves removing a portion of an intervertebral disc , which causes pain, weakness or numbness by stressing the spinal cord or radiating ...
The first blind transforaminal discectomy was done by Parvis Kambin in 1973 with Craig's canula's. The Tessys method was a further development of the existing YESS method (American Anthony Yeung ) by the Dutch Thomas Hoogland in 1989 in Munich by reaming a few mm's from the SAP (Superior Articular Process).
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Small endoscopic discectomy (called nano-endoscopic discectomy) is non-invasive and does not cause failed back syndrome. [62] Invasive microdiscectomy with a one-inch skin opening has not been shown to result in a significantly different outcome from larger-opening discectomy with respect to pain. [61] It might however have less risk of ...
The wound itself takes a long time to heal; the aim of minimally invasive surgery is reduce tissue trauma and the associated bleeding and risk of infection by minimizing the size of the incision. [2] [3] Some minimally invasive spine surgery may be performed by a spinal neurosurgeon or an orthopedic surgeon and a trained medical team.