Research Article

Our experience of a left-sided approach to anterior cervical discectomy

Volume: 41 Number: 1 March 28, 2019
Cumhuriyet Medical Journal Cover
Cumhuriyet Medical Journal
PDF Download
EN TR

Our experience of a left-sided approach to anterior cervical discectomy

Abstract

Objective: To emphasize the advantages of a left-sided approach compared to opening the cervical region from the right side in patients with cervical disc hernia undergoing surgery for any reason.

Method: A total of 10 patients with a history of surgery in the right cervical region were operated on with a left-side approach because of disc hernia at a single cervical level between 2013 and 2018. The patients comprised 6 males and 4 females. Of the whole patient group, 5 had previously undergone surgery for cervical disc hernia, 3 for goitre, 1 with hydrocephalus because the shunt traversed the medial of the distal end of the sternocleidomastoid muscle, and 1 patient who had not been operated on but had goitre of giant dimensions extending to the right.

Results: All the patients were diagnosed with cervical disc hernia from MRI findings and neurological examination. The operation of single level cervical disc surgery was performed with an approach from the left in all 10 patients avoiding opening from a recurrence area. No complications developed and the complaints were seen to recover.

Conclusions: In the light of previous reports in literature, it can be emphasized that to prevent complications in cervical disc surgery, rather than an approach from a previously operated region, it could be more advantageous to open from the opposite side. 

Keywords

References

  1. 1. Yaycıoğlu S, Gökpınar D. Anterior girişimle ameliyat edilen servikal disk hernilerinin değerlendirilmesi (servikal disk ameliyatı).Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2003, 4(2),11-14.
  2. 2. Orakdöğen M, Döşoğlu M, Ateş Ö, Demirbaş MA, Özdoğan C, Tevrüz M. The results of anterior approach in cervical disc hemiation. Acta Orthop Traumatol Turc. 1997; 3: 327-330.
  3. 3. Ebraheim NA, Lu J, Skie M, Heck BE, Yeasting RA. Vulnerability of the recurrent laryngeal nerve in the anterior approach to the lower cervical spine. Spine 1997; 22: 2664–7.
  4. 4. Netterville JL, Koriwchak MJ, Courey MS, Winkle M, Ossoff RH. Vocal fold paralysis following the anterior approach to the cervical spine. Ann Otol Rhinol Laryngol. 1996; 105: 85–91.
  5. 5. Kasimcan Ö, Kaptan H, Çakiroğlu K, Kiliç C. Servikal Disk Hernisinde Peek Cage'in Erken Dönem Sonuçları. Archives of Neuropsychiatry/Noropsikiatri Arsivi. 2009, 46(3).
  6. 6. Özay R , Çetinalp NE , Kalan M , Oğur T. Dislocation and Spontan Resorbtion of the Bone Graft after Anterior Cervical Discectomy Operation: Case Report. Türk Nöroşirürji Dergisi. 2012, Cilt: 22, Sayı: 3, 232-234.
  7. 7. O’Shea J, Sundaresan N, Steinberger AA, Moore F. Surgical approaches to the cervicothoracic junction. In: Menezes AH, Sonntag VKH, eds. Principles of Spinal Surgery. New York: McGraw-Hill. 1996, 1253–61.
  8. 8. Geiger M, Roth PA, Wu JK. The anterior cervical approach to the cervicothoracic junction. Neurosurgery. 1995, 37: 704–9.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Publication Date

March 28, 2019

Submission Date

March 5, 2019

Acceptance Date

March 20, 2019

Published in Issue

Year 2019 Volume: 41 Number: 1

DOI

https://doi.org/10.7197/223.vi.536092

IZ

https://izlik.org/JA94HL95PB

Cite

RIS / Bibtex
APA
Bozkurt, H., & Karademir, M. (2019). Our experience of a left-sided approach to anterior cervical discectomy. Cumhuriyet Medical Journal, 41(1), 158-162. https://doi.org/10.7197/223.vi.536092
AMA
1.Bozkurt H, Karademir M. Our experience of a left-sided approach to anterior cervical discectomy. CMJ. 2019;41(1):158-162. doi:10.7197/223.vi.536092
Chicago
Bozkurt, Hüseyin, and Mustafa Karademir. 2019. “Our Experience of a Left-Sided Approach to Anterior Cervical Discectomy”. Cumhuriyet Medical Journal 41 (1): 158-62. https://doi.org/10.7197/223.vi.536092.
EndNote
Bozkurt H, Karademir M (March 1, 2019) Our experience of a left-sided approach to anterior cervical discectomy. Cumhuriyet Medical Journal 41 1 158–162.
IEEE
[1]H. Bozkurt and M. Karademir, “Our experience of a left-sided approach to anterior cervical discectomy”, CMJ, vol. 41, no. 1, pp. 158–162, Mar. 2019, doi: 10.7197/223.vi.536092.
ISNAD
Bozkurt, Hüseyin - Karademir, Mustafa. “Our Experience of a Left-Sided Approach to Anterior Cervical Discectomy”. Cumhuriyet Medical Journal 41/1 (March 1, 2019): 158-162. https://doi.org/10.7197/223.vi.536092.
JAMA
1.Bozkurt H, Karademir M. Our experience of a left-sided approach to anterior cervical discectomy. CMJ. 2019;41:158–162.
MLA
Bozkurt, Hüseyin, and Mustafa Karademir. “Our Experience of a Left-Sided Approach to Anterior Cervical Discectomy”. Cumhuriyet Medical Journal, vol. 41, no. 1, Mar. 2019, pp. 158-62, doi:10.7197/223.vi.536092.
Vancouver
1.Hüseyin Bozkurt, Mustafa Karademir. Our experience of a left-sided approach to anterior cervical discectomy. CMJ. 2019 Mar. 1;41(1):158-62. doi:10.7197/223.vi.536092