The Mount Sinai Journal of Medicine

 


Volume 67 Number 4
September 2000
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Anterior Cervical Discectomy without Fusion or Instrumentation: 25 Years' Experience 314-317
Martin H. Savitz, M.D.
Address correspondence to Martin H. Savitz, M.D., 30 Old Phillips Hill Road, New City, NY 10956.

ABSTRACT
OBJECTIVE: To assess a minimalist approach to anterior cervical discectomy without instrumentation or bone grafting.

METHOD: A total of 530 operations performed during a 25-year period were evaluated in terms of technique and patient outcome.

RESULTS: Advantages included minimal blood loss, little tissue swelling, less narcotic requirement, fewer days in the hospital, and earlier return to customary activity. During the 2-year follow-up period, a repeat surgical procedure was required in only 2% of the group.

CONCLUSIONS: Eliminating spinal fusion from anterior cervical discectomy shortened the operation, reduced the number of surgical instruments needed, and eliminated complications associated with obtaining a graft from the iliac crest or maintaining the bone in situ.

KEY WORDS
Intervertebral disc, cervical vertebra, microsurgical technique


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