Hernández CB

Language: English
References: 20
Page: 13-18
PDF size: 109.69 Kb.

ABSTRACT

The instruments used are reported and an original percutaneous cervical arthrodesis is described. This arthrodesis is performed under local anesthesia and sedation on an ambulatory basis. It may be performed in the operating room or the X-ray room. The history after two years of the first seven patients, four females and three males, aged 36 to 68 years, who underwent this procedure diagnosed with relapsing single or multiple disc herniation is reported. Herniation turned into percutaneous nucleotomy occupying less than 25% of the vertebral canal, disc herniation with spine instability or discarthrosis. Patients with cord compression, non reducible spondylolisthesis or progressive neuropathy were excluded. The result was good in six patients (85.7%) with pain disappearing, neurological recovery and reintegration to their normal activities after 2 weeks. One patient did poorly because of graft resorption forcing to a second open surgery. Few problems occurred including pharyngitis and dysphagia occurring in three patients during the immediate postoperative period, inherent to the tracheal, pharyngeal, and esophageal manipulation. Total recuperation time was no more than three weeks. We recommend this technique in patients diagnosed with single cervical disc herniation or accompanied by discarthrosis and/or reducible instability with no more than two levels compromised. However we have certain reservations about the C2-C3 level.

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