Korean J Spine.  2011 Dec;8(4):292-294. 10.14245/kjs.2011.8.4.292.

Combined Anterior Approach with Transcorporeal Herniotomy for a Huge Migrated Cervical Disc Herniation

Affiliations
  • 1Department of Neurosurgery, Daegu Wooridul Spine Hospital, Daegu, Korea. chul5104@hanmail.net
  • 2Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.

Abstract

The report describes the herniation of a huge migrated cervical disc, which was treated by a combined anterior approach. A 50-year-old man presented with radiculopathy and myelopathy. Radiological images revealed the herniation of a huge disc which had migrated superiorly from the C6-7 disc to the C5-6 disc. We tried to combine an anterior cervical discectomy and fusion (ACDF) and transcorporeal herniotomy to avoid corpectomy. Postoperatively, successful clinical and radiological results were obtained. It is therefore possible to remove a huge migrated herniated cervical disc completely by a combined ACDF and trancorporeal approach without corpectomy.

Keyword

Cervical disc herniation; Migration; Epidural

MeSH Terms

Diskectomy
Humans
Middle Aged
Radiculopathy
Spinal Cord Diseases
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