2004, Number 5
Acta Ortop Mex 2004; 18 (5)
Microendoscopic discectomy and interbody fusion (MEDIF): Results of the minimally invasive technique
Pimenta L, Díaz OR, León PM, Bellera AF, Da Silva MM
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ABSTRACTMinimally invasive cervical spine techniques like the anterior microendoscopic discectomy and interbody fusion (MEDIF) for the treatment of the degenerative cervical spine disease with central canal compression are not for the knowledge of the all spine surgeons. This study shows a group of patients managed with the METRx® device. Objectives. Shows the clinical and surgical results of the minimally invasive technique for the treatment of the degenerative spine cervical disease. Material and methods. From February 1999-August 2002 a prospective study was performed for the evaluation of treatment MEDIF fusion using titanium cages in patients with cervical radiculopathy with or without mielopathy. We used the endoscopic surgical approach and ODOM scale and X-rays films to follow up. Results. forty four patients (53 levels) were operated, 86% showed good-excellent evolution, 89% showed vertebral fusion, there were no implant migration, 3 patients required additional foraminotomy 12 months later, because of unilateral radiculopathy at another level were presented. They had an average of twelve-hours hospital stay and 75% returned to their work in a 30 days-term post surgery.