Cervical Disc Microsurgery
Cervical Disc Herniation is a common pathology in the youngster. Symptoms include neck pain, which could radiate to upper arm. when medical treatment fails to control pain, or when there is severe compression of the nerve roots (radiculopathy) or spinal cord (myelopathy), surgery is indicated.
Microsurgery has revolutionized spine surgery. The microscope permits visualization of the nerve roots, spinal cord and the disc fragments, much better than with loops or the naked eye. Our last generation Zeiss microscopes are used on a daily basis to treat cervical discs. Combined with the use of micro-instruments, security of the surgery is highly increased, and the rate of complications is maximally decreased. Microsurgery permits the realization of discectomy, and decompression of neural elements. The disc is usually replaced by an interbody device.
With over one thousand cervical disc surgeries in the last five years, we offer our patients the maximum chances of recovery.
Cervical Disc Replacement/Arthroplasty
Motion preservation is becoming nowadays a major point of interest for spine surgeons. The disc is replaced by a fusion device (anterior cervical discectomy and fusion ACDF), or a mobile device (arthroplasty).
Latest studies showed that by preserving motion in a functional spinal unit (FSU)(a functional unit is composed of two adjacent vertebra, and the disc and ligaments that join these two vertebras), adjacent FSU are submitted to less stress, and thus evolution of osteoarthritis is delayed, in comparison with cases where motion is not preserved (arthrodesis between two vertebras).
Disc replacement is recommended for young patients who require an anterior cervical discectomy, with good ranges of neck movements. The goal is to preserve motion.
Below, a video showing motion in a C5C6 arthroplasty