| Anterior Cervical Keyhole Fragmentectomy |
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Shin-Young Lee, M.D., Byung-Chan Jeon, M.D., Young-Soo Kim, M.D., Kyo-Hwang Lee, M.D., Tae-Sang Chun, M.D. and Nam-Kyu Kim, M.D. |
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Department of Neurosurgery, Kosin University Gospel Hospital, Busan, Korea |
| 전방 경추 키홀 파편제거술 |
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이신영, 전병찬, 김영수, 이교황, 천태상, 김남규 |
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고신대학교 복음병원 신경외과학교실 |
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| Abstract |
's criteria. Also the patient-performed outcome assessment was graded according to a modified scale of 0(no pain) to 10(their index pain).
Results
The surgeon-performed assessment showed satisfactory results at immediate postoperation in 98.0% of 102 cases. The pain level dropped from 10 to 1.02 at immediate postoperation. The responses indicated that 92.0% of the 87 respondents were satisfied with their surgical outcome and would undergo the same keyhole procedure again if faced with a similar herniation in the future. The poor outcome occurred in 2.0% of 102 patients and 8% of respondents group. The operation time for this procedure ranged from 30 to 130 minutes. The mean hospital stay was 3.2 days(range, 1節9 days). There was no combined major complication.
Conclusion
Anterior cervical keyhole fragmentectomy appears to be a good alternative procedure for carefully selected patients with intractable cervicobrachial pain, which provides direct access to ruptured fragment and preservation of the motion segment avoiding fusion of disc space.
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| Keywords:
Cervical disc herniation, Anterior cervical keyhole fragmentectomy |
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