Anterior cervical discectomy
The most common surgical techniques are cervical discectomy with or without fusing the two adjacent intervertebral bodies. Robinson and Smith 1) 2) 3) 4). introduced the anterior cervical decompression technique without microscope, but with fusion by inserting a bone graft harvested from the iliac crest of the patient.
Hankinson and Wilson 5) improved the procedure with the use of an operating microscope; however, they performed the surgery without leaving a graft behind; the results of both types of surgery were entirely comparable 6) 7) 8).
Surgical decompression for cervical radiculopathy includes:
a.- without anterior cervical plate.
b.- with anterior cervical plate or with zero profile.
a.- Anterior percutaneous cervical disc chemonucleolysis.
Tissue trauma is significantly reduced with laser and endoscopic surgery techniques. Anterior cervical laser discectomy and Anterior percutaneous endoscopic cervical discectomy are both suitable for the specific indication of soft, symptomatic contained cervical disc herniations. A prospective cohort study indicates that Anterior cervical laser discectomy and Anterior percutaneous endoscopic cervical discectomy are options for cervical decompression surgery when medical comorbidities or preferences by patients and surgeons dictate more minimally invasive strategies 12).